Daily Papers

Achieving machine autonomy and human control often represent divergent objectives in the design of interactive AI systems. Visual generative foundation models such as Stable Diffusion show promise in navigating these goals, especially when prompted with arbitrary languages. However, they often fall short in generating images with spatial, structural, or geometric controls. The integration of such controls, which can accommodate various visual conditions in a single unified model, remains an unaddressed challenge. In response, we introduce UniControl, a new generative foundation model that consolidates a wide array of controllable condition-to-image (C2I) tasks within a singular framework, while still allowing for arbitrary language prompts. UniControl enables pixel-level-precise image generation, where visual conditions primarily influence the generated structures and language prompts guide the style and context. To equip UniControl with the capacity to handle diverse visual conditions, we augment pretrained text-to-image diffusion models and introduce a task-aware HyperNet to modulate the diffusion models, enabling the adaptation to different C2I tasks simultaneously. Trained on nine unique C2I tasks, UniControl demonstrates impressive zero-shot generation abilities with unseen visual conditions. Experimental results show that UniControl often surpasses the performance of single-task-controlled methods of comparable model sizes. This control versatility positions UniControl as a significant advancement in the realm of controllable visual generation.

Recent advances in generative diffusion models have enabled text-controlled synthesis of realistic and diverse images with impressive quality. Despite these remarkable advances, the application of text-to-image generative models in computer vision for standard visual recognition tasks remains limited. The current de facto approach for these tasks is to design model architectures and loss functions that are tailored to the task at hand. In this paper, we develop a unified language interface for computer vision tasks that abstracts away task-specific design choices and enables task execution by following natural language instructions. Our approach involves casting multiple computer vision tasks as text-to-image generation problems. Here, the text represents an instruction describing the task, and the resulting image is a visually-encoded task output. To train our model, we pool commonly-used computer vision datasets covering a range of tasks, including segmentation, object detection, depth estimation, and classification. We then use a large language model to paraphrase prompt templates that convey the specific tasks to be conducted on each image, and through this process, we create a multi-modal and multi-task training dataset comprising input and output images along with annotated instructions. Following the InstructPix2Pix architecture, we apply instruction-tuning to a text-to-image diffusion model using our constructed dataset, steering its functionality from a generative model to an instruction-guided multi-task vision learner. Experiments demonstrate that our model, dubbed InstructCV, performs competitively compared to other generalist and task-specific vision models. Moreover, it exhibits compelling generalization capabilities to unseen data, categories, and user instructions.

Recent progress in image generation has sparked research into controlling these models through condition signals, with various methods addressing specific challenges in conditional generation. Instead of proposing another specialized technique, we introduce a simple, unified framework to handle diverse conditional generation tasks involving a specific image-condition correlation. By learning a joint distribution over a correlated image pair (e.g. image and depth) with a diffusion model, our approach enables versatile capabilities via different inference-time sampling schemes, including controllable image generation (e.g. depth to image), estimation (e.g. image to depth), signal guidance, joint generation (image & depth), and coarse control. Previous attempts at unification often introduce significant complexity through multi-stage training, architectural modification, or increased parameter counts. In contrast, our simple formulation requires a single, computationally efficient training stage, maintains the standard model input, and adds minimal learned parameters (15% of the base model). Moreover, our model supports additional capabilities like non-spatially aligned and coarse conditioning. Extensive results show that our single model can produce comparable results with specialized methods and better results than prior unified methods. We also demonstrate that multiple models can be effectively combined for multi-signal conditional generation.

The widespread use of chest X-rays (CXRs), coupled with a shortage of radiologists, has driven growing interest in automated CXR analysis and AI-assisted reporting. While existing vision-language models (VLMs) show promise in specific tasks such as report generation or abnormality detection, they often lack support for interactive diagnostic capabilities. In this work we present RadVLM, a compact, multitask conversational foundation model designed for CXR interpretation. To this end, we curate a large-scale instruction dataset comprising over 1 million image-instruction pairs containing both single-turn tasks -- such as report generation, abnormality classification, and visual grounding -- and multi-turn, multi-task conversational interactions. After fine-tuning RadVLM on this instruction dataset, we evaluate it across different tasks along with re-implemented baseline VLMs. Our results show that RadVLM achieves state-of-the-art performance in conversational capabilities and visual grounding while remaining competitive in other radiology tasks. Ablation studies further highlight the benefit of joint training across multiple tasks, particularly for scenarios with limited annotated data. Together, these findings highlight the potential of RadVLM as a clinically relevant AI assistant, providing structured CXR interpretation and conversational capabilities to support more effective and accessible diagnostic workflows.

Human visual imagination usually begins with analogies or rough sketches. For example, given an image with a girl playing guitar before a building, one may analogously imagine how it seems like if Iron Man playing guitar before Pyramid in Egypt. Nonetheless, visual condition may not be precisely aligned with the imaginary result indicated by text prompt, and existing layout-controllable text-to-image (T2I) generation models is prone to producing degraded generated results with obvious artifacts. To address this issue, we present a novel T2I generation method dubbed SmartControl, which is designed to modify the rough visual conditions for adapting to text prompt. The key idea of our SmartControl is to relax the visual condition on the areas that are conflicted with text prompts. In specific, a Control Scale Predictor (CSP) is designed to identify the conflict regions and predict the local control scales, while a dataset with text prompts and rough visual conditions is constructed for training CSP. It is worth noting that, even with a limited number (e.g., 1,000~2,000) of training samples, our SmartControl can generalize well to unseen objects. Extensive experiments on four typical visual condition types clearly show the efficacy of our SmartControl against state-of-the-arts. Source code, pre-trained models, and datasets are available at https://github.com/liuxiaoyu1104/SmartControl.

One of the key shortcomings in current text-to-image (T2I) models is their inability to consistently generate images which faithfully follow the spatial relationships specified in the text prompt. In this paper, we offer a comprehensive investigation of this limitation, while also developing datasets and methods that achieve state-of-the-art performance. First, we find that current vision-language datasets do not represent spatial relationships well enough; to alleviate this bottleneck, we create SPRIGHT, the first spatially-focused, large scale dataset, by re-captioning 6 million images from 4 widely used vision datasets. Through a 3-fold evaluation and analysis pipeline, we find that SPRIGHT largely improves upon existing datasets in capturing spatial relationships. To demonstrate its efficacy, we leverage only ~0.25% of SPRIGHT and achieve a 22% improvement in generating spatially accurate images while also improving the FID and CMMD scores. Secondly, we find that training on images containing a large number of objects results in substantial improvements in spatial consistency. Notably, we attain state-of-the-art on T2I-CompBench with a spatial score of 0.2133, by fine-tuning on <500 images. Finally, through a set of controlled experiments and ablations, we document multiple findings that we believe will enhance the understanding of factors that affect spatial consistency in text-to-image models. We publicly release our dataset and model to foster further research in this area.

Image Chain-of-Thought (Image-CoT) is a test-time scaling paradigm that improves image generation by extending inference time. Most Image-CoT methods focus on text-to-image (T2I) generation. Unlike T2I generation, image editing is goal-directed: the solution space is constrained by the source image and instruction. This mismatch causes three challenges when applying Image-CoT to editing: inefficient resource allocation with fixed sampling budgets, unreliable early-stage verification using general MLLM scores, and redundant edited results from large-scale sampling. To address this, we propose ADaptive Edit-CoT (ADE-CoT), an on-demand test-time scaling framework to enhance editing efficiency and performance. It incorporates three key strategies: (1) a difficulty-aware resource allocation that assigns dynamic budgets based on estimated edit difficulty; (2) edit-specific verification in early pruning that uses region localization and caption consistency to select promising candidates; and (3) depth-first opportunistic stopping, guided by an instance-specific verifier, that terminates when intent-aligned results are found. Extensive experiments on three SOTA editing models (Step1X-Edit, BAGEL, FLUX.1 Kontext) across three benchmarks show that ADE-CoT achieves superior performance-efficiency trade-offs. With comparable sampling budgets, ADE-CoT obtains better performance with more than 2x speedup over Best-of-N.

Text-to-image (T2I) models have achieved remarkable progress, yet they continue to struggle with complex prompts that require simultaneously handling multiple objects, relations, and attributes. Existing inference-time strategies, such as parallel sampling with verifiers or simply increasing denoising steps, can improve prompt alignment but remain inadequate for richly compositional settings where many constraints must be satisfied. Inspired by the success of chain-of-thought reasoning in large language models, we propose an iterative test-time strategy in which a T2I model progressively refines its generations across multiple steps, guided by feedback from a vision-language model as the critic in the loop. Our approach is simple, requires no external tools or priors, and can be flexibly applied to a wide range of image generators and vision-language models. Empirically, we demonstrate consistent gains on image generation across benchmarks: a 16.9% improvement in all-correct rate on ConceptMix (k=7), a 13.8% improvement on T2I-CompBench (3D-Spatial category) and a 12.5% improvement on Visual Jenga scene decomposition compared to compute-matched parallel sampling. Beyond quantitative gains, iterative refinement produces more faithful generations by decomposing complex prompts into sequential corrections, with human evaluators preferring our method 58.7% of the time over 41.3% for the parallel baseline. Together, these findings highlight iterative self-correction as a broadly applicable principle for compositional image generation. Results and visualizations are available at https://iterative-img-gen.github.io/

We present Condition-Aware Neural Network (CAN), a new method for adding control to image generative models. In parallel to prior conditional control methods, CAN controls the image generation process by dynamically manipulating the weight of the neural network. This is achieved by introducing a condition-aware weight generation module that generates conditional weight for convolution/linear layers based on the input condition. We test CAN on class-conditional image generation on ImageNet and text-to-image generation on COCO. CAN consistently delivers significant improvements for diffusion transformer models, including DiT and UViT. In particular, CAN combined with EfficientViT (CaT) achieves 2.78 FID on ImageNet 512x512, surpassing DiT-XL/2 while requiring 52x fewer MACs per sampling step.

Recently, text-to-image generation models have achieved remarkable advancements, particularly with diffusion models facilitating high-quality image synthesis from textual descriptions. However, these models often struggle with achieving precise control over pixel-level layouts, object appearances, and global styles when using text prompts alone. To mitigate this issue, previous works introduce conditional images as auxiliary inputs for image generation, enhancing control but typically necessitating specialized models tailored to different types of reference inputs. In this paper, we explore a new approach to unify controllable generation within a single framework. Specifically, we propose the unified image-instruction adapter (UNIC-Adapter) built on the Multi-Modal-Diffusion Transformer architecture, to enable flexible and controllable generation across diverse conditions without the need for multiple specialized models. Our UNIC-Adapter effectively extracts multi-modal instruction information by incorporating both conditional images and task instructions, injecting this information into the image generation process through a cross-attention mechanism enhanced by Rotary Position Embedding. Experimental results across a variety of tasks, including pixel-level spatial control, subject-driven image generation, and style-image-based image synthesis, demonstrate the effectiveness of our UNIC-Adapter in unified controllable image generation.

Text-to-image (T2I) models have garnered significant attention for generating high-quality images aligned with text prompts. However, rapid T2I model advancements reveal limitations in early benchmarks, lacking comprehensive evaluations, for example, the evaluation on reasoning, text rendering and style. Notably, recent state-of-the-art models, with their rich knowledge modeling capabilities, show promising results on the image generation problems requiring strong reasoning ability, yet existing evaluation systems have not adequately addressed this frontier. To systematically address these gaps, we introduce OneIG-Bench, a meticulously designed comprehensive benchmark framework for fine-grained evaluation of T2I models across multiple dimensions, including prompt-image alignment, text rendering precision, reasoning-generated content, stylization, and diversity. By structuring the evaluation, this benchmark enables in-depth analysis of model performance, helping researchers and practitioners pinpoint strengths and bottlenecks in the full pipeline of image generation. Specifically, OneIG-Bench enables flexible evaluation by allowing users to focus on a particular evaluation subset. Instead of generating images for the entire set of prompts, users can generate images only for the prompts associated with the selected dimension and complete the corresponding evaluation accordingly. Our codebase and dataset are now publicly available to facilitate reproducible evaluation studies and cross-model comparisons within the T2I research community.

Text-to-Image (T2I) diffusion models have shown impressive results in generating visually compelling images following user prompts. Building on this, various methods further fine-tune the pre-trained T2I model for specific tasks. However, this requires separate model architectures, training designs, and multiple parameter sets to handle different tasks. In this paper, we introduce UniVG, a generalist diffusion model capable of supporting a diverse range of image generation tasks with a single set of weights. UniVG treats multi-modal inputs as unified conditions to enable various downstream applications, ranging from T2I generation, inpainting, instruction-based editing, identity-preserving generation, and layout-guided generation, to depth estimation and referring segmentation. Through comprehensive empirical studies on data mixing and multi-task training, we provide detailed insights into the training processes and decisions that inform our final designs. For example, we show that T2I generation and other tasks, such as instruction-based editing, can coexist without performance trade-offs, while auxiliary tasks like depth estimation and referring segmentation enhance image editing. Notably, our model can even outperform some task-specific models on their respective benchmarks, marking a significant step towards a unified image generation model.

Text-to-image (T2I) generation aims to synthesize images from textual prompts, which jointly specify what must be shown and imply what can be inferred, thereby corresponding to two core capabilities: composition and reasoning. However, with the emerging advances of T2I models in reasoning beyond composition, existing benchmarks reveal clear limitations in providing comprehensive evaluations across and within these capabilities. Meanwhile, these advances also enable models to handle more complex prompts, whereas current benchmarks remain limited to low scene density and simplified one-to-one reasoning. To address these limitations, we propose T2I-CoReBench, a comprehensive and complex benchmark that evaluates both composition and reasoning capabilities of T2I models. To ensure comprehensiveness, we structure composition around scene graph elements (instance, attribute, and relation) and reasoning around the philosophical framework of inference (deductive, inductive, and abductive), formulating a 12-dimensional evaluation taxonomy. To increase complexity, driven by the inherent complexities of real-world scenarios, we curate each prompt with high compositional density for composition and multi-step inference for reasoning. We also pair each prompt with a checklist that specifies individual yes/no questions to assess each intended element independently to facilitate fine-grained and reliable evaluation. In statistics, our benchmark comprises 1,080 challenging prompts and around 13,500 checklist questions. Experiments across 27 current T2I models reveal that their composition capability still remains limited in complex high-density scenarios, while the reasoning capability lags even further behind as a critical bottleneck, with all models struggling to infer implicit elements from prompts. Our project page: https://t2i-corebench.github.io/.

Despite recent advances in medical vision-language pretraining, existing models still struggle to capture the diagnostic workflow: radiographs are typically treated as context-agnostic images, while radiologists' gaze -- a crucial cue for visual reasoning -- remains largely underexplored by existing methods. These limitations hinder the modeling of disease-specific patterns and weaken cross-modal alignment. To bridge this gap, we introduce CoGaze, a Context- and Gaze-guided vision-language pretraining framework for chest X-rays. We first propose a context-infused vision encoder that models how radiologists integrate clinical context -- including patient history, symptoms, and diagnostic intent -- to guide diagnostic reasoning. We then present a multi-level supervision paradigm that (1) enforces intra- and inter-modal semantic alignment through hybrid-positive contrastive learning, (2) injects diagnostic priors via disease-aware cross-modal representation learning, and (3) leverages radiologists' gaze as probabilistic priors to guide attention toward diagnostically salient regions. Extensive experiments demonstrate that CoGaze consistently outperforms state-of-the-art methods across diverse tasks, achieving up to +2.0% CheXbertF1 and +1.2% BLEU2 for free-text and structured report generation, +23.2% AUROC for zero-shot classification, and +12.2% Precision@1 for image-text retrieval. Code is available at https://github.com/mk-runner/CoGaze.

Automatic radiology report generation is booming due to its huge application potential for the healthcare industry. However, existing computer vision and natural language processing approaches to tackle this problem are limited in two aspects. First, when extracting image features, most of them neglect multi-view reasoning in vision and model single-view structure of medical images, such as space-view or channel-view. However, clinicians rely on multi-view imaging information for comprehensive judgment in daily clinical diagnosis. Second, when generating reports, they overlook context reasoning with multi-modal information and focus on pure textual optimization utilizing retrieval-based methods. We aim to address these two issues by proposing a model that better simulates clinicians' perspectives and generates more accurate reports. Given the above limitation in feature extraction, we propose a Globally-intensive Attention (GIA) module in the medical image encoder to simulate and integrate multi-view vision perception. GIA aims to learn three types of vision perception: depth view, space view, and pixel view. On the other hand, to address the above problem in report generation, we explore how to involve multi-modal signals to generate precisely matched reports, i.e., how to integrate previously predicted words with region-aware visual content in next word prediction. Specifically, we design a Visual Knowledge-guided Decoder (VKGD), which can adaptively consider how much the model needs to rely on visual information and previously predicted text to assist next word prediction. Hence, our final Intensive Vision-guided Network (IVGN) framework includes a GIA-guided Visual Encoder and the VKGD. Experiments on two commonly-used datasets IU X-Ray and MIMIC-CXR demonstrate the superior ability of our method compared with other state-of-the-art approaches.

The progress in the generation of synthetic images has made it crucial to assess their quality. While several metrics have been proposed to assess the rendering of images, it is crucial for Text-to-Image (T2I) models, which generate images based on a prompt, to consider additional aspects such as to which extent the generated image matches the important content of the prompt. Moreover, although the generated images usually result from a random starting point, the influence of this one is generally not considered. In this article, we propose a new metric based on prompt templates to study the alignment between the content specified in the prompt and the corresponding generated images. It allows us to better characterize the alignment in terms of the type of the specified objects, their number, and their color. We conducted a study on several recent T2I models about various aspects. An additional interesting result we obtained with our approach is that image quality can vary drastically depending on the latent noise used as a seed for the images. We also quantify the influence of the number of concepts in the prompt, their order as well as their (color) attributes. Finally, our method allows us to identify some latent seeds that produce better images than others, opening novel directions of research on this understudied topic.

Diffusion models have advanced from text-to-image (T2I) to image-to-image (I2I) generation by incorporating structured inputs such as depth maps, enabling fine-grained spatial control. However, existing methods either train separate models for each condition or rely on unified architectures with entangled representations, resulting in poor generalization and high adaptation costs for novel conditions. To this end, we propose DivControl, a decomposable pretraining framework for unified controllable generation and efficient adaptation. DivControl factorizes ControlNet via SVD into basic components-pairs of singular vectors-which are disentangled into condition-agnostic learngenes and condition-specific tailors through knowledge diversion during multi-condition training. Knowledge diversion is implemented via a dynamic gate that performs soft routing over tailors based on the semantics of condition instructions, enabling zero-shot generalization and parameter-efficient adaptation to novel conditions. To further improve condition fidelity and training efficiency, we introduce a representation alignment loss that aligns condition embeddings with early diffusion features. Extensive experiments demonstrate that DivControl achieves state-of-the-art controllability with 36.4times less training cost, while simultaneously improving average performance on basic conditions. It also delivers strong zero-shot and few-shot performance on unseen conditions, demonstrating superior scalability, modularity, and transferability.

Recently, large-scale diffusion models have made impressive progress in text-to-image (T2I) generation. To further equip these T2I models with fine-grained spatial control, approaches like ControlNet introduce an extra network that learns to follow a condition image. However, for every single condition type, ControlNet requires independent training on millions of data pairs with hundreds of GPU hours, which is quite expensive and makes it challenging for ordinary users to explore and develop new types of conditions. To address this problem, we propose the CtrLoRA framework, which trains a Base ControlNet to learn the common knowledge of image-to-image generation from multiple base conditions, along with condition-specific LoRAs to capture distinct characteristics of each condition. Utilizing our pretrained Base ControlNet, users can easily adapt it to new conditions, requiring as few as 1,000 data pairs and less than one hour of single-GPU training to obtain satisfactory results in most scenarios. Moreover, our CtrLoRA reduces the learnable parameters by 90% compared to ControlNet, significantly lowering the threshold to distribute and deploy the model weights. Extensive experiments on various types of conditions demonstrate the efficiency and effectiveness of our method. Codes and model weights will be released at https://github.com/xyfJASON/ctrlora.

Impressive advances in text-to-image (T2I) generative models have yielded a plethora of high performing models which are able to generate aesthetically appealing, photorealistic images. Despite the progress, these models still struggle to produce images that are consistent with the input prompt, oftentimes failing to capture object quantities, relations and attributes properly. Existing solutions to improve prompt-image consistency suffer from the following challenges: (1) they oftentimes require model fine-tuning, (2) they only focus on nearby prompt samples, and (3) they are affected by unfavorable trade-offs among image quality, representation diversity, and prompt-image consistency. In this paper, we address these challenges and introduce a T2I optimization-by-prompting framework, OPT2I, which leverages a large language model (LLM) to improve prompt-image consistency in T2I models. Our framework starts from a user prompt and iteratively generates revised prompts with the goal of maximizing a consistency score. Our extensive validation on two datasets, MSCOCO and PartiPrompts, shows that OPT2I can boost the initial consistency score by up to 24.9% in terms of DSG score while preserving the FID and increasing the recall between generated and real data. Our work paves the way toward building more reliable and robust T2I systems by harnessing the power of LLMs.

Traditional computer vision generally solves each single task independently by a dedicated model with the task instruction implicitly designed in the model architecture, arising two limitations: (1) it leads to task-specific models, which require multiple models for different tasks and restrict the potential synergies from diverse tasks; (2) it leads to a pre-defined and fixed model interface that has limited interactivity and adaptability in following user' task instructions. To address them, Visual Instruction Tuning (VIT) has been intensively studied recently, which finetunes a large vision model with language as task instructions, aiming to learn from a wide range of vision tasks described by language instructions a general-purpose multimodal model that can follow arbitrary instructions and thus solve arbitrary tasks specified by the user. This work aims to provide a systematic review of visual instruction tuning, covering (1) the background that presents computer vision task paradigms and the development of VIT; (2) the foundations of VIT that introduce commonly used network architectures, visual instruction tuning frameworks and objectives, and evaluation setups and tasks; (3) the commonly used datasets in visual instruction tuning and evaluation; (4) the review of existing VIT methods that categorizes them with a taxonomy according to both the studied vision task and the method design and highlights the major contributions, strengths, and shortcomings of them; (5) the comparison and discussion of VIT methods over various instruction-following benchmarks; (6) several challenges, open directions and possible future works in visual instruction tuning research.

This paper contributes to the "BraTS 2024 Brain MR Image Synthesis Challenge" and presents a conditional Wavelet Diffusion Model (cWDM) for directly solving a paired image-to-image translation task on high-resolution volumes. While deep learning-based brain tumor segmentation models have demonstrated clear clinical utility, they typically require MR scans from various modalities (T1, T1ce, T2, FLAIR) as input. However, due to time constraints or imaging artifacts, some of these modalities may be missing, hindering the application of well-performing segmentation algorithms in clinical routine. To address this issue, we propose a method that synthesizes one missing modality image conditioned on three available images, enabling the application of downstream segmentation models. We treat this paired image-to-image translation task as a conditional generation problem and solve it by combining a Wavelet Diffusion Model for high-resolution 3D image synthesis with a simple conditioning strategy. This approach allows us to directly apply our model to full-resolution volumes, avoiding artifacts caused by slice- or patch-wise data processing. While this work focuses on a specific application, the presented method can be applied to all kinds of paired image-to-image translation problems, such as CT leftrightarrow MR and MR leftrightarrow PET translation, or mask-conditioned anatomically guided image generation.

Recent progress in text-to-image (T2I) generation underscores the importance of reliable benchmarks in evaluating how accurately generated images reflect the semantics of their textual prompt. However, (1) existing benchmarks lack the diversity of prompt scenarios and multilingual support, both essential for real-world applicability; (2) they offer only coarse evaluations across primary dimensions, covering a narrow range of sub-dimensions, and fall short in fine-grained sub-dimension assessment. To address these limitations, we introduce UniGenBench++, a unified semantic assessment benchmark for T2I generation. Specifically, it comprises 600 prompts organized hierarchically to ensure both coverage and efficiency: (1) spans across diverse real-world scenarios, i.e., 5 main prompt themes and 20 subthemes; (2) comprehensively probes T2I models' semantic consistency over 10 primary and 27 sub evaluation criteria, with each prompt assessing multiple testpoints. To rigorously assess model robustness to variations in language and prompt length, we provide both English and Chinese versions of each prompt in short and long forms. Leveraging the general world knowledge and fine-grained image understanding capabilities of a closed-source Multi-modal Large Language Model (MLLM), i.e., Gemini-2.5-Pro, an effective pipeline is developed for reliable benchmark construction and streamlined model assessment. Moreover, to further facilitate community use, we train a robust evaluation model that enables offline assessment of T2I model outputs. Through comprehensive benchmarking of both open- and closed-sourced T2I models, we systematically reveal their strengths and weaknesses across various aspects.

Although text-to-image (T2I) models have recently thrived as visual generative priors, their reliance on high-quality text-image pairs makes scaling up expensive. We argue that grasping the cross-modality alignment is not a necessity for a sound visual generative prior, whose focus should be on texture modeling. Such a philosophy inspires us to study image-to-image (I2I) generation, where models can learn from in-the-wild images in a self-supervised manner. We first develop a pure vision-based training framework, Lumos, and confirm the feasibility and the scalability of learning I2I models. We then find that, as an upstream task of T2I, our I2I model serves as a more foundational visual prior and achieves on-par or better performance than existing T2I models using only 1/10 text-image pairs for fine-tuning. We further demonstrate the superiority of I2I priors over T2I priors on some text-irrelevant visual generative tasks, like image-to-3D and image-to-video.

The advancement of open-source text-to-image (T2I) models has been hindered by the absence of large-scale, reasoning-focused datasets and comprehensive evaluation benchmarks, resulting in a performance gap compared to leading closed-source systems. To address this challenge, We introduce FLUX-Reason-6M and PRISM-Bench (Precise and Robust Image Synthesis Measurement Benchmark). FLUX-Reason-6M is a massive dataset consisting of 6 million high-quality FLUX-generated images and 20 million bilingual (English and Chinese) descriptions specifically designed to teach complex reasoning. The image are organized according to six key characteristics: Imagination, Entity, Text rendering, Style, Affection, and Composition, and design explicit Generation Chain-of-Thought (GCoT) to provide detailed breakdowns of image generation steps. The whole data curation takes 15,000 A100 GPU days, providing the community with a resource previously unattainable outside of large industrial labs. PRISM-Bench offers a novel evaluation standard with seven distinct tracks, including a formidable Long Text challenge using GCoT. Through carefully designed prompts, it utilizes advanced vision-language models for nuanced human-aligned assessment of prompt-image alignment and image aesthetics. Our extensive evaluation of 19 leading models on PRISM-Bench reveals critical performance gaps and highlights specific areas requiring improvement. Our dataset, benchmark, and evaluation code are released to catalyze the next wave of reasoning-oriented T2I generation. Project page: https://flux-reason-6m.github.io/ .

Recent advances in text-to-image (T2I) generation have achieved impressive results, yet existing models still struggle with prompts that require rich world knowledge and implicit reasoning: both of which are critical for producing semantically accurate, coherent, and contextually appropriate images in real-world scenarios. To address this gap, we introduce WorldGenBench, a benchmark designed to systematically evaluate T2I models' world knowledge grounding and implicit inferential capabilities, covering both the humanities and nature domains. We propose the Knowledge Checklist Score, a structured metric that measures how well generated images satisfy key semantic expectations. Experiments across 21 state-of-the-art models reveal that while diffusion models lead among open-source methods, proprietary auto-regressive models like GPT-4o exhibit significantly stronger reasoning and knowledge integration. Our findings highlight the need for deeper understanding and inference capabilities in next-generation T2I systems. Project Page: https://dwanzhang-ai.github.io/WorldGenBench/{https://dwanzhang-ai.github.io/WorldGenBench/}

In-context learning, as a new paradigm in NLP, allows the model to rapidly adapt to various tasks with only a handful of prompts and examples. But in computer vision, the difficulties for in-context learning lie in that tasks vary significantly in the output representations, thus it is unclear how to define the general-purpose task prompts that the vision model can understand and transfer to out-of-domain tasks. In this work, we present Painter, a generalist model which addresses these obstacles with an "image"-centric solution, that is, to redefine the output of core vision tasks as images, and specify task prompts as also images. With this idea, our training process is extremely simple, which performs standard masked image modeling on the stitch of input and output image pairs. This makes the model capable of performing tasks conditioned on visible image patches. Thus, during inference, we can adopt a pair of input and output images from the same task as the input condition, to indicate which task to perform. Without bells and whistles, our generalist Painter can achieve competitive performance compared to well-established task-specific models, on seven representative vision tasks ranging from high-level visual understanding to low-level image processing. Painter significantly outperforms recent generalist models on several challenging tasks. Surprisingly, our model shows capabilities of completing out-of-domain tasks, which do not exist in the training data, such as open-category keypoint detection and object segmentation, validating the powerful task transferability of in-context learning.

Recent advances in vision--language pretraining have enabled strong medical foundation models, yet most analyze radiographs in isolation, overlooking the key clinical task of comparing prior and current images to assess interval change. For chest radiographs (CXRs), capturing interval change is essential, as radiologists must evaluate not only the static appearance of findings but also how they evolve over time. We introduce TILA (Temporal Inversion-aware Learning and Alignment), a simple yet effective framework that uses temporal inversion, reversing image pairs, as a supervisory signal to enhance the sensitivity of existing temporal vision-language models to directional change. TILA integrates inversion-aware objectives across pretraining, fine-tuning, and inference, complementing conventional appearance modeling with explicit learning of temporal order. We also propose a unified evaluation protocol to assess order sensitivity and consistency under temporal inversion, and introduce MS-CXR-Tretrieval, a retrieval evaluation set constructed through a general protocol that can be applied to any temporal CXR dataset. Experiments on public datasets and real-world hospital cohorts demonstrate that TILA consistently improves progression classification and temporal embedding alignment when applied to multiple existing architectures.

Spatial conditioning in pretrained text-to-image diffusion models has significantly improved fine-grained control over the structure of generated images. However, existing control adapters exhibit limited adaptability and incur high training costs when encountering novel spatial control conditions that differ substantially from the training tasks. To address this limitation, we propose Universal Few-Shot Control (UFC), a versatile few-shot control adapter capable of generalizing to novel spatial conditions. Given a few image-condition pairs of an unseen task and a query condition, UFC leverages the analogy between query and support conditions to construct task-specific control features, instantiated by a matching mechanism and an update on a small set of task-specific parameters. Experiments on six novel spatial control tasks show that UFC, fine-tuned with only 30 annotated examples of novel tasks, achieves fine-grained control consistent with the spatial conditions. Notably, when fine-tuned with 0.1% of the full training data, UFC achieves competitive performance with the fully supervised baselines in various control tasks. We also show that UFC is applicable agnostically to various diffusion backbones and demonstrate its effectiveness on both UNet and DiT architectures. Code is available at https://github.com/kietngt00/UFC.

Recent advancements in text-to-image (T2I) generation have enabled models to produce high-quality images from textual descriptions. However, these models often struggle with complex instructions involving multiple objects, attributes, and spatial relationships. Existing benchmarks for evaluating T2I models primarily focus on general text-image alignment and fail to capture the nuanced requirements of complex, multi-faceted prompts. Given this gap, we introduce LongBench-T2I, a comprehensive benchmark specifically designed to evaluate T2I models under complex instructions. LongBench-T2I consists of 500 intricately designed prompts spanning nine diverse visual evaluation dimensions, enabling a thorough assessment of a model's ability to follow complex instructions. Beyond benchmarking, we propose an agent framework (Plan2Gen) that facilitates complex instruction-driven image generation without requiring additional model training. This framework integrates seamlessly with existing T2I models, using large language models to interpret and decompose complex prompts, thereby guiding the generation process more effectively. As existing evaluation metrics, such as CLIPScore, fail to adequately capture the nuances of complex instructions, we introduce an evaluation toolkit that automates the quality assessment of generated images using a set of multi-dimensional metrics. The data and code are released at https://github.com/yczhou001/LongBench-T2I.

Recently a number of studies demonstrated impressive performance on diverse vision-language multi-modal tasks such as image captioning and visual question answering by extending the BERT architecture with multi-modal pre-training objectives. In this work we explore a broad set of multi-modal representation learning tasks in the medical domain, specifically using radiology images and the unstructured report. We propose Medical Vision Language Learner (MedViLL), which adopts a BERT-based architecture combined with a novel multi-modal attention masking scheme to maximize generalization performance for both vision-language understanding tasks (diagnosis classification, medical image-report retrieval, medical visual question answering) and vision-language generation task (radiology report generation). By statistically and rigorously evaluating the proposed model on four downstream tasks with three radiographic image-report datasets (MIMIC-CXR, Open-I, and VQA-RAD), we empirically demonstrate the superior downstream task performance of MedViLL against various baselines, including task-specific architectures. The source code is publicly available at: https://github.com/SuperSupermoon/MedViLL

Recent advancements in large language models have demonstrated how chain-of-thought (CoT) and reinforcement learning (RL) can improve performance. However, applying such reasoning strategies to the visual generation domain remains largely unexplored. In this paper, we present T2I-R1, a novel reasoning-enhanced text-to-image generation model, powered by RL with a bi-level CoT reasoning process. Specifically, we identify two levels of CoT that can be utilized to enhance different stages of generation: (1) the semantic-level CoT for high-level planning of the prompt and (2) the token-level CoT for low-level pixel processing during patch-by-patch generation. To better coordinate these two levels of CoT, we introduce BiCoT-GRPO with an ensemble of generation rewards, which seamlessly optimizes both generation CoTs within the same training step. By applying our reasoning strategies to the baseline model, Janus-Pro, we achieve superior performance with 13% improvement on T2I-CompBench and 19% improvement on the WISE benchmark, even surpassing the state-of-the-art model FLUX.1. Code is available at: https://github.com/CaraJ7/T2I-R1

Text-to-image (T2I) models have achieved remarkable success in generating high-fidelity images, but they often fail in handling complex spatial relationships, e.g., spatial perception, reasoning, or interaction. These critical aspects are largely overlooked by current benchmarks due to their short or information-sparse prompt design. In this paper, we introduce SpatialGenEval, a new benchmark designed to systematically evaluate the spatial intelligence of T2I models, covering two key aspects: (1) SpatialGenEval involves 1,230 long, information-dense prompts across 25 real-world scenes. Each prompt integrates 10 spatial sub-domains and corresponding 10 multi-choice question-answer pairs, ranging from object position and layout to occlusion and causality. Our extensive evaluation of 21 state-of-the-art models reveals that higher-order spatial reasoning remains a primary bottleneck. (2) To demonstrate that the utility of our information-dense design goes beyond simple evaluation, we also construct the SpatialT2I dataset. It contains 15,400 text-image pairs with rewritten prompts to ensure image consistency while preserving information density. Fine-tuned results on current foundation models (i.e., Stable Diffusion-XL, Uniworld-V1, OmniGen2) yield consistent performance gains (+4.2%, +5.7%, +4.4%) and more realistic effects in spatial relations, highlighting a data-centric paradigm to achieve spatial intelligence in T2I models.

The ability to understand visual concepts and replicate and compose these concepts from images is a central goal for computer vision. Recent advances in text-to-image (T2I) models have lead to high definition and realistic image quality generation by learning from large databases of images and their descriptions. However, the evaluation of T2I models has focused on photorealism and limited qualitative measures of visual understanding. To quantify the ability of T2I models in learning and synthesizing novel visual concepts, we introduce ConceptBed, a large-scale dataset that consists of 284 unique visual concepts, 5K unique concept compositions, and 33K composite text prompts. Along with the dataset, we propose an evaluation metric, Concept Confidence Deviation (CCD), that uses the confidence of oracle concept classifiers to measure the alignment between concepts generated by T2I generators and concepts contained in ground truth images. We evaluate visual concepts that are either objects, attributes, or styles, and also evaluate four dimensions of compositionality: counting, attributes, relations, and actions. Our human study shows that CCD is highly correlated with human understanding of concepts. Our results point to a trade-off between learning the concepts and preserving the compositionality which existing approaches struggle to overcome.

Despite remarkable progress in Text-to-Image models, many real-world applications require generating coherent image sets with diverse consistency requirements. Existing consistent methods often focus on a specific domain with specific aspects of consistency, which significantly constrains their generalizability to broader applications. In this paper, we propose a more challenging problem, Text-to-ImageSet (T2IS) generation, which aims to generate sets of images that meet various consistency requirements based on user instructions. To systematically study this problem, we first introduce T2IS-Bench with 596 diverse instructions across 26 subcategories, providing comprehensive coverage for T2IS generation. Building on this, we propose T2IS-Eval, an evaluation framework that transforms user instructions into multifaceted assessment criteria and employs effective evaluators to adaptively assess consistency fulfillment between criteria and generated sets. Subsequently, we propose AutoT2IS, a training-free framework that maximally leverages pretrained Diffusion Transformers' in-context capabilities to harmonize visual elements to satisfy both image-level prompt alignment and set-level visual consistency. Extensive experiments on T2IS-Bench reveal that diverse consistency challenges all existing methods, while our AutoT2IS significantly outperforms current generalized and even specialized approaches. Our method also demonstrates the ability to enable numerous underexplored real-world applications, confirming its substantial practical value. Visit our project in https://chengyou-jia.github.io/T2IS-Home.

Despite the stunning ability to generate high-quality images by recent text-to-image models, current approaches often struggle to effectively compose objects with different attributes and relationships into a complex and coherent scene. We propose T2I-CompBench, a comprehensive benchmark for open-world compositional text-to-image generation, consisting of 6,000 compositional text prompts from 3 categories (attribute binding, object relationships, and complex compositions) and 6 sub-categories (color binding, shape binding, texture binding, spatial relationships, non-spatial relationships, and complex compositions). We further propose several evaluation metrics specifically designed to evaluate compositional text-to-image generation. We introduce a new approach, Generative mOdel fine-tuning with Reward-driven Sample selection (GORS), to boost the compositional text-to-image generation abilities of pretrained text-to-image models. Extensive experiments and evaluations are conducted to benchmark previous methods on T2I-CompBench, and to validate the effectiveness of our proposed evaluation metrics and GORS approach. Project page is available at https://karine-h.github.io/T2I-CompBench/.

The rapid advancements of Text-to-Image (T2I) models have ushered in a new phase of AI-generated content, marked by their growing ability to interpret and follow user instructions. However, existing T2I model evaluation benchmarks fall short in limited prompt diversity and complexity, as well as coarse evaluation metrics, making it difficult to evaluate the fine-grained alignment performance between textual instructions and generated images. In this paper, we present TIIF-Bench (Text-to-Image Instruction Following Benchmark), aiming to systematically assess T2I models' ability in interpreting and following intricate textual instructions. TIIF-Bench comprises a set of 5000 prompts organized along multiple dimensions, which are categorized into three levels of difficulties and complexities. To rigorously evaluate model robustness to varying prompt lengths, we provide a short and a long version for each prompt with identical core semantics. Two critical attributes, i.e., text rendering and style control, are introduced to evaluate the precision of text synthesis and the aesthetic coherence of T2I models. In addition, we collect 100 high-quality designer level prompts that encompass various scenarios to comprehensively assess model performance. Leveraging the world knowledge encoded in large vision language models, we propose a novel computable framework to discern subtle variations in T2I model outputs. Through meticulous benchmarking of mainstream T2I models on TIIF-Bench, we analyze the pros and cons of current T2I models and reveal the limitations of current T2I benchmarks. Project Page: https://a113n-w3i.github.io/TIIF_Bench/.

Recent advancements in Unified Multimodal Models (UMMs) have significantly advanced text-to-image (T2I) generation, particularly through the integration of Chain-of-Thought (CoT) reasoning. However, existing CoT-based T2I methods largely rely on abstract natural-language planning, which lacks the precision required for complex spatial layouts, structured visual elements, and dense textual content. In this work, we propose CoCo (Code-as-CoT), a code-driven reasoning framework that represents the reasoning process as executable code, enabling explicit and verifiable intermediate planning for image generation. Given a text prompt, CoCo first generates executable code that specifies the structural layout of the scene, which is then executed in a sandboxed environment to render a deterministic draft image. The model subsequently refines this draft through fine-grained image editing to produce the final high-fidelity result. To support this training paradigm, we construct CoCo-10K, a curated dataset containing structured draft-final image pairs designed to teach both structured draft construction and corrective visual refinement. Empirical evaluations on StructT2IBench, OneIG-Bench, and LongText-Bench show that CoCo achieves improvements of +68.83%, +54.8%, and +41.23% over direct generation, while also outperforming other generation methods empowered by CoT. These results demonstrate that executable code is an effective and reliable reasoning paradigm for precise, controllable, and structured text-to-image generation. The code is available at: https://github.com/micky-li-hd/CoCo

Vision-language datasets are vital for both text-to-image (T2I) and image-to-text (I2T) research. However, current datasets lack descriptions with fine-grained detail that would allow for richer associations to be learned by models. To fill the gap, we introduce Descriptions of Connected and Contrasting Images (DOCCI), a dataset with long, human-annotated English descriptions for 15k images that were taken, curated and donated by a single researcher intent on capturing key challenges such as spatial relations, counting, text rendering, world knowledge, and more. We instruct human annotators to create comprehensive descriptions for each image; these average 136 words in length and are crafted to clearly distinguish each image from those that are related or similar. Each description is highly compositional and typically encompasses multiple challenges. Through both quantitative and qualitative analyses, we demonstrate that DOCCI serves as an effective training resource for image-to-text generation -- a PaLI 5B model finetuned on DOCCI shows equal or superior results compared to highly-performant larger models like LLaVA-1.5 7B and InstructBLIP 7B. Furthermore, we show that DOCCI is a useful testbed for text-to-image generation, highlighting the limitations of current text-to-image models in capturing long descriptions and fine details.

Recent progress in text-to-image (T2I) models enables high-quality image generation with flexible textual control. To utilize the abundant visual priors in the off-the-shelf T2I models, a series of methods try to invert an image to proper embedding that aligns with the semantic space of the T2I model. However, these image-to-text (I2T) inversion methods typically need multiple source images containing the same concept or struggle with the imbalance between editing flexibility and visual fidelity. In this work, we point out that the critical problem lies in the foreground-background entanglement when learning an intended concept, and propose a simple and effective baseline for single-image I2T inversion, named SingleInsert. SingleInsert adopts a two-stage scheme. In the first stage, we regulate the learned embedding to concentrate on the foreground area without being associated with the irrelevant background. In the second stage, we finetune the T2I model for better visual resemblance and devise a semantic loss to prevent the language drift problem. With the proposed techniques, SingleInsert excels in single concept generation with high visual fidelity while allowing flexible editing. Additionally, SingleInsert can perform single-image novel view synthesis and multiple concepts composition without requiring joint training. To facilitate evaluation, we design an editing prompt list and introduce a metric named Editing Success Rate (ESR) for quantitative assessment of editing flexibility. Our project page is: https://jarrentwu1031.github.io/SingleInsert-web/

The most advanced text-to-image (T2I) models require significant training costs (e.g., millions of GPU hours), seriously hindering the fundamental innovation for the AIGC community while increasing CO2 emissions. This paper introduces PIXART-alpha, a Transformer-based T2I diffusion model whose image generation quality is competitive with state-of-the-art image generators (e.g., Imagen, SDXL, and even Midjourney), reaching near-commercial application standards. Additionally, it supports high-resolution image synthesis up to 1024px resolution with low training cost, as shown in Figure 1 and 2. To achieve this goal, three core designs are proposed: (1) Training strategy decomposition: We devise three distinct training steps that separately optimize pixel dependency, text-image alignment, and image aesthetic quality; (2) Efficient T2I Transformer: We incorporate cross-attention modules into Diffusion Transformer (DiT) to inject text conditions and streamline the computation-intensive class-condition branch; (3) High-informative data: We emphasize the significance of concept density in text-image pairs and leverage a large Vision-Language model to auto-label dense pseudo-captions to assist text-image alignment learning. As a result, PIXART-alpha's training speed markedly surpasses existing large-scale T2I models, e.g., PIXART-alpha only takes 10.8% of Stable Diffusion v1.5's training time (675 vs. 6,250 A100 GPU days), saving nearly \300,000 (26,000 vs. \320,000) and reducing 90% CO2 emissions. Moreover, compared with a larger SOTA model, RAPHAEL, our training cost is merely 1%. Extensive experiments demonstrate that PIXART-\alpha excels in image quality, artistry, and semantic control. We hope PIXART-\alpha$ will provide new insights to the AIGC community and startups to accelerate building their own high-quality yet low-cost generative models from scratch.

Following the impressive development of LLMs, vision-language alignment in LLMs is actively being researched to enable multimodal reasoning and visual IO. This direction of research is particularly relevant to medical imaging because medical image analysis and generation consist of reasoning based on a combination of visual features and prior knowledge. Many recent works have focused on training adapter networks that serve as an information bridge between image processing networks and LLMs; but presumably, in order to achieve maximum reasoning potential of LLMs on visual information as well, visual and language features should be allowed to interact more freely. This is especially important in the medical domain because understanding and generating medical images such as chest X-rays (CXR) require not only accurate visual and language-based reasoning but also a more intimate mapping between the two modalities. Thus, taking inspiration from previous work on the transformer and VQ-GAN combination for bidirectional image and text generation, we build upon this approach and develop a method for instruction-tuning an LLM pre-trained only on text to gain vision-language capabilities for medical images. Specifically, we leverage a pretrained LLM's existing question-answering and instruction-following abilities to teach it to understand visual inputs by instructing it to answer questions about image inputs and, symmetrically, output both text and image responses appropriate to a given query by tuning the LLM with diverse tasks that encompass image-based text-generation and text-based image-generation. We show that our model, LLM-CXR, trained in this approach shows better image-text alignment in both CXR understanding and generation tasks while being smaller in size compared to previously developed models that perform a narrower range of tasks. The code is at https://github.com/hyn2028/llm-cxr.

Chest X-ray (CXR) is the most frequently ordered imaging test, supporting diverse clinical tasks from thoracic disease detection to postoperative monitoring. However, task-specific classification models are limited in scope, require costly labeled data, and lack generalizability to out-of-distribution datasets. To address these challenges, we introduce CheXFound, a self-supervised vision foundation model that learns robust CXR representations and generalizes effectively across a wide range of downstream tasks. We pretrain CheXFound on a curated CXR-1M dataset, comprising over one million unique CXRs from publicly available sources. We propose a Global and Local Representations Integration (GLoRI) module for downstream adaptations, by incorporating disease-specific local features with global image features for enhanced performance in multilabel classification. Our experimental results show that CheXFound outperforms state-of-the-art models in classifying 40 disease findings across different prevalence levels on the CXR-LT 24 dataset and exhibits superior label efficiency on downstream tasks with limited training data. Additionally, CheXFound achieved significant improvements on new tasks with out-of-distribution datasets, including opportunistic cardiovascular disease risk estimation and mortality prediction. These results highlight CheXFound's strong generalization capabilities, enabling diverse adaptations with improved label efficiency. The project source code is publicly available at https://github.com/RPIDIAL/CheXFound.

Recently, large-scale text-to-image (T2I) models have shown impressive performance in generating high-fidelity images, but with limited controllability, e.g., precisely specifying the content in a specific region with a free-form text description. In this paper, we propose an effective technique for such regional control in T2I generation. We augment T2I models' inputs with an extra set of position tokens, which represent the quantized spatial coordinates. Each region is specified by four position tokens to represent the top-left and bottom-right corners, followed by an open-ended natural language regional description. Then, we fine-tune a pre-trained T2I model with such new input interface. Our model, dubbed as ReCo (Region-Controlled T2I), enables the region control for arbitrary objects described by open-ended regional texts rather than by object labels from a constrained category set. Empirically, ReCo achieves better image quality than the T2I model strengthened by positional words (FID: 8.82->7.36, SceneFID: 15.54->6.51 on COCO), together with objects being more accurately placed, amounting to a 20.40% region classification accuracy improvement on COCO. Furthermore, we demonstrate that ReCo can better control the object count, spatial relationship, and region attributes such as color/size, with the free-form regional description. Human evaluation on PaintSkill shows that ReCo is +19.28% and +17.21% more accurate in generating images with correct object count and spatial relationship than the T2I model.

We present a radiology-specific multimodal model for the task for generating radiological reports from chest X-rays (CXRs). Our work builds on the idea that large language model(s) can be equipped with multimodal capabilities through alignment with pre-trained vision encoders. On natural images, this has been shown to allow multimodal models to gain image understanding and description capabilities. Our proposed model (MAIRA-1) leverages a CXR-specific image encoder in conjunction with a fine-tuned large language model based on Vicuna-7B, and text-based data augmentation, to produce reports with state-of-the-art quality. In particular, MAIRA-1 significantly improves on the radiologist-aligned RadCliQ metric and across all lexical metrics considered. Manual review of model outputs demonstrates promising fluency and accuracy of generated reports while uncovering failure modes not captured by existing evaluation practices. More information and resources can be found on the project website: https://aka.ms/maira.

Generating accurate and clinically meaningful radiology reports from chest X-ray images remains a significant challenge in medical AI. While recent vision-language models achieve strong results in general radiology report generation, they often fail to adequately describe rare but clinically important pathologies like fractures. This work addresses this gap by developing specialized models for fracture pathology detection and description. We train fracture-specific vision-language models with encoders from MAIRA-2 and CheXagent, demonstrating significant improvements over general-purpose models in generating accurate fracture descriptions. Analysis of model outputs by fracture type, location, and age reveals distinct strengths and limitations of current vision-language model architectures. We publicly release our best-performing fracture-reporting model, facilitating future research in accurate reporting of rare pathologies.

Medical imaging plays a crucial role in diagnosis, with radiology reports serving as vital documentation. Automating report generation has emerged as a critical need to alleviate the workload of radiologists. While machine learning has facilitated report generation for 2D medical imaging, extending this to 3D has been unexplored due to computational complexity and data scarcity. We introduce the first method to generate radiology reports for 3D medical imaging, specifically targeting chest CT volumes. Given the absence of comparable methods, we establish a baseline using an advanced 3D vision encoder in medical imaging to demonstrate our method's effectiveness, which leverages a novel auto-regressive causal transformer. Furthermore, recognizing the benefits of leveraging information from previous visits, we augment CT2Rep with a cross-attention-based multi-modal fusion module and hierarchical memory, enabling the incorporation of longitudinal multimodal data. Access our code at https://github.com/ibrahimethemhamamci/CT2Rep

Radiology reports are crucial for planning treatment strategies and enhancing doctor-patient communication, yet manually writing these reports is burdensome for radiologists. While automatic report generation offers a solution, existing methods often rely on single-view radiographs, limiting diagnostic accuracy. To address this problem, we propose MCL, a Multi-view enhanced Contrastive Learning method for chest X-ray report generation. Specifically, we first introduce multi-view enhanced contrastive learning for visual representation by maximizing agreements between multi-view radiographs and their corresponding report. Subsequently, to fully exploit patient-specific indications (e.g., patient's symptoms) for report generation, we add a transitional ``bridge" for missing indications to reduce embedding space discrepancies caused by their presence or absence. Additionally, we construct Multi-view CXR and Two-view CXR datasets from public sources to support research on multi-view report generation. Our proposed MCL surpasses recent state-of-the-art methods across multiple datasets, achieving a 5.0% F1 RadGraph improvement on MIMIC-CXR, a 7.3% BLEU-1 improvement on MIMIC-ABN, a 3.1% BLEU-4 improvement on Multi-view CXR, and an 8.2% F1 CheXbert improvement on Two-view CXR.

With the emergence of large-scale vision language models (VLM), it is now possible to produce realistic-looking radiology reports for chest X-ray images. However, their clinical translation has been hampered by the factual errors and hallucinations in the produced descriptions during inference. In this paper, we present a novel phrase-grounded fact-checking model (FC model) that detects errors in findings and their indicated locations in automatically generated chest radiology reports. Specifically, we simulate the errors in reports through a large synthetic dataset derived by perturbing findings and their locations in ground truth reports to form real and fake findings-location pairs with images. A new multi-label cross-modal contrastive regression network is then trained on this dataset. We present results demonstrating the robustness of our method in terms of accuracy of finding veracity prediction and localization on multiple X-ray datasets. We also show its effectiveness for error detection in reports of SOTA report generators on multiple datasets achieving a concordance correlation coefficient of 0.997 with ground truth-based verification, thus pointing to its utility during clinical inference in radiology workflows.

Chest X-rays (CXRs) are among the most frequently performed imaging examinations worldwide, yet rising imaging volumes increase radiologist workload and the risk of diagnostic errors. Although artificial intelligence (AI) systems have shown promise for CXR interpretation, most generate only final predictions, without making explicit how visual evidence is translated into radiographic findings and diagnostic predictions. We present CheXOne, a reasoning-enabled vision-language model for CXR interpretation. CheXOne jointly generates diagnostic predictions and explicit, clinically grounded reasoning traces that connect visual evidence, radiographic findings, and these predictions. The model is trained on 14.7 million instruction and reasoning samples curated from 30 public datasets spanning 36 CXR interpretation tasks, using a two-stage framework that combines instruction tuning with reinforcement learning to improve reasoning quality. We evaluate CheXOne in zero-shot settings across visual question answering, report generation, visual grounding and reasoning assessment, covering 17 evaluation settings. CheXOne outperforms existing medical and general-domain foundation models and achieves strong performance on independent public benchmarks. A clinical reader study demonstrates that CheXOne-drafted reports are comparable to or better than resident-written reports in 55% of cases, while effectively addressing clinical indications and enhancing both report writing and CXR interpretation efficiency. Further analyses involving radiologists reveal that the generated reasoning traces show high clinical factuality and provide causal support for the final predictions, offering a plausible explanation for the performance gains. These results suggest that explicit reasoning can improve model performance, interpretability and clinical utility in AI-assisted CXR interpretation.

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.

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.

Developing an interpretable system for generating reports in chest X-ray (CXR) analysis is becoming increasingly crucial in Computer-aided Diagnosis (CAD) systems, enabling radiologists to comprehend the decisions made by these systems. Despite the growth of diverse datasets and methods focusing on report generation, there remains a notable gap in how closely these models' generated reports align with the interpretations of real radiologists. In this study, we tackle this challenge by initially introducing Fine-Grained CXR (FG-CXR) dataset, which provides fine-grained paired information between the captions generated by radiologists and the corresponding gaze attention heatmaps for each anatomy. Unlike existing datasets that include a raw sequence of gaze alongside a report, with significant misalignment between gaze location and report content, our FG-CXR dataset offers a more grained alignment between gaze attention and diagnosis transcript. Furthermore, our analysis reveals that simply applying black-box image captioning methods to generate reports cannot adequately explain which information in CXR is utilized and how long needs to attend to accurately generate reports. Consequently, we propose a novel explainable radiologist's attention generator network (Gen-XAI) that mimics the diagnosis process of radiologists, explicitly constraining its output to closely align with both radiologist's gaze attention and transcript. Finally, we perform extensive experiments to illustrate the effectiveness of our method. Our datasets and checkpoint is available at https://github.com/UARK-AICV/FG-CXR.

Our primary goal here is to create a good, generalist perception model that can tackle multiple tasks, within limits on computational resources and training data. To achieve this, we resort to text-to-image diffusion models pre-trained on billions of images. Our exhaustive evaluation metrics demonstrate that DICEPTION effectively tackles multiple perception tasks, achieving performance on par with state-of-the-art models. We achieve results on par with SAM-vit-h using only 0.06% of their data (e.g., 600K vs. 1B pixel-level annotated images). Inspired by Wang et al., DICEPTION formulates the outputs of various perception tasks using color encoding; and we show that the strategy of assigning random colors to different instances is highly effective in both entity segmentation and semantic segmentation. Unifying various perception tasks as conditional image generation enables us to fully leverage pre-trained text-to-image models. Thus, DICEPTION can be efficiently trained at a cost of orders of magnitude lower, compared to conventional models that were trained from scratch. When adapting our model to other tasks, it only requires fine-tuning on as few as 50 images and 1% of its parameters. DICEPTION provides valuable insights and a more promising solution for visual generalist models.

The field of text-to-image (T2I) generation has made significant progress in recent years, largely driven by advancements in diffusion models. Linguistic control enables effective content creation, but struggles with fine-grained control over image generation. This challenge has been explored, to a great extent, by incorporating additional user-supplied spatial conditions, such as depth maps and edge maps, into pre-trained T2I models through extra encoding. However, multi-control image synthesis still faces several challenges. Specifically, current approaches are limited in handling free combinations of diverse input control signals, overlook the complex relationships among multiple spatial conditions, and often fail to maintain semantic alignment with provided textual prompts. This can lead to suboptimal user experiences. To address these challenges, we propose AnyControl, a multi-control image synthesis framework that supports arbitrary combinations of diverse control signals. AnyControl develops a novel Multi-Control Encoder that extracts a unified multi-modal embedding to guide the generation process. This approach enables a holistic understanding of user inputs, and produces high-quality, faithful results under versatile control signals, as demonstrated by extensive quantitative and qualitative evaluations. Our project page is available in https://any-control.github.io.

To enhance the controllability of text-to-image diffusion models, current ControlNet-like models have explored various control signals to dictate image attributes. However, existing methods either handle conditions inefficiently or use a fixed number of conditions, which does not fully address the complexity of multiple conditions and their potential conflicts. This underscores the need for innovative approaches to manage multiple conditions effectively for more reliable and detailed image synthesis. To address this issue, we propose a novel framework, DynamicControl, which supports dynamic combinations of diverse control signals, allowing adaptive selection of different numbers and types of conditions. Our approach begins with a double-cycle controller that generates an initial real score sorting for all input conditions by leveraging pre-trained conditional generation models and discriminative models. This controller evaluates the similarity between extracted conditions and input conditions, as well as the pixel-level similarity with the source image. Then, we integrate a Multimodal Large Language Model (MLLM) to build an efficient condition evaluator. This evaluator optimizes the ordering of conditions based on the double-cycle controller's score ranking. Our method jointly optimizes MLLMs and diffusion models, utilizing MLLMs' reasoning capabilities to facilitate multi-condition text-to-image (T2I) tasks. The final sorted conditions are fed into a parallel multi-control adapter, which learns feature maps from dynamic visual conditions and integrates them to modulate ControlNet, thereby enhancing control over generated images. Through both quantitative and qualitative comparisons, DynamicControl demonstrates its superiority over existing methods in terms of controllability, generation quality and composability under various conditional controls.

We propose a diffusion-based approach for Text-to-Image (T2I) generation with interactive 3D layout control. Layout control has been widely studied to alleviate the shortcomings of T2I diffusion models in understanding objects' placement and relationships from text descriptions. Nevertheless, existing approaches for layout control are limited to 2D layouts, require the user to provide a static layout beforehand, and fail to preserve generated images under layout changes. This makes these approaches unsuitable for applications that require 3D object-wise control and iterative refinements, e.g., interior design and complex scene generation. To this end, we leverage the recent advancements in depth-conditioned T2I models and propose a novel approach for interactive 3D layout control. We replace the traditional 2D boxes used in layout control with 3D boxes. Furthermore, we revamp the T2I task as a multi-stage generation process, where at each stage, the user can insert, change, and move an object in 3D while preserving objects from earlier stages. We achieve this through our proposed Dynamic Self-Attention (DSA) module and the consistent 3D object translation strategy. Experiments show that our approach can generate complicated scenes based on 3D layouts, boosting the object generation success rate over the standard depth-conditioned T2I methods by 2x. Moreover, it outperforms other methods in comparison in preserving objects under layout changes. Project Page: https://abdo-eldesokey.github.io/build-a-scene/

We report ACE++, an instruction-based diffusion framework that tackles various image generation and editing tasks. Inspired by the input format for the inpainting task proposed by FLUX.1-Fill-dev, we improve the Long-context Condition Unit (LCU) introduced in ACE and extend this input paradigm to any editing and generation tasks. To take full advantage of image generative priors, we develop a two-stage training scheme to minimize the efforts of finetuning powerful text-to-image diffusion models like FLUX.1-dev. In the first stage, we pre-train the model using task data with the 0-ref tasks from the text-to-image model. There are many models in the community based on the post-training of text-to-image foundational models that meet this training paradigm of the first stage. For example, FLUX.1-Fill-dev deals primarily with painting tasks and can be used as an initialization to accelerate the training process. In the second stage, we finetune the above model to support the general instructions using all tasks defined in ACE. To promote the widespread application of ACE++ in different scenarios, we provide a comprehensive set of models that cover both full finetuning and lightweight finetuning, while considering general applicability and applicability in vertical scenarios. The qualitative analysis showcases the superiority of ACE++ in terms of generating image quality and prompt following ability.

Recent advancements in Unet-based diffusion models, such as ControlNet and IP-Adapter, have introduced effective spatial and subject control mechanisms. However, the DiT (Diffusion Transformer) architecture still struggles with efficient and flexible control. To tackle this issue, we propose EasyControl, a novel framework designed to unify condition-guided diffusion transformers with high efficiency and flexibility. Our framework is built on three key innovations. First, we introduce a lightweight Condition Injection LoRA Module. This module processes conditional signals in isolation, acting as a plug-and-play solution. It avoids modifying the base model weights, ensuring compatibility with customized models and enabling the flexible injection of diverse conditions. Notably, this module also supports harmonious and robust zero-shot multi-condition generalization, even when trained only on single-condition data. Second, we propose a Position-Aware Training Paradigm. This approach standardizes input conditions to fixed resolutions, allowing the generation of images with arbitrary aspect ratios and flexible resolutions. At the same time, it optimizes computational efficiency, making the framework more practical for real-world applications. Third, we develop a Causal Attention Mechanism combined with the KV Cache technique, adapted for conditional generation tasks. This innovation significantly reduces the latency of image synthesis, improving the overall efficiency of the framework. Through extensive experiments, we demonstrate that EasyControl achieves exceptional performance across various application scenarios. These innovations collectively make our framework highly efficient, flexible, and suitable for a wide range of tasks.

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.

Computer vision systems today are primarily N-purpose systems, designed and trained for a predefined set of tasks. Adapting such systems to new tasks is challenging and often requires non-trivial modifications to the network architecture (e.g. adding new output heads) or training process (e.g. adding new losses). To reduce the time and expertise required to develop new applications, we would like to create general purpose vision systems that can learn and perform a range of tasks without any modification to the architecture or learning process. In this paper, we propose GPV-1, a task-agnostic vision-language architecture that can learn and perform tasks that involve receiving an image and producing text and/or bounding boxes, including classification, localization, visual question answering, captioning, and more. We also propose evaluations of generality of architecture, skill-concept transfer, and learning efficiency that may inform future work on general purpose vision. Our experiments indicate GPV-1 is effective at multiple tasks, reuses some concept knowledge across tasks, can perform the Referring Expressions task zero-shot, and further improves upon the zero-shot performance using a few training samples.

Chest X-rays (CXRs) are the most frequently performed imaging test in clinical practice. Recent advances in the development of vision-language foundation models (FMs) give rise to the possibility of performing automated CXR interpretation, which can assist physicians with clinical decision-making and improve patient outcomes. However, developing FMs that can accurately interpret CXRs is challenging due to the (1) limited availability of large-scale vision-language datasets in the medical image domain, (2) lack of vision and language encoders that can capture the complexities of medical data, and (3) absence of evaluation frameworks for benchmarking the abilities of FMs on CXR interpretation. In this work, we address these challenges by first introducing CheXinstruct - a large-scale instruction-tuning dataset curated from 28 publicly-available datasets. We then present CheXagent - an instruction-tuned FM capable of analyzing and summarizing CXRs. To build CheXagent, we design a clinical large language model (LLM) for parsing radiology reports, a vision encoder for representing CXR images, and a network to bridge the vision and language modalities. Finally, we introduce CheXbench - a novel benchmark designed to systematically evaluate FMs across 8 clinically-relevant CXR interpretation tasks. Extensive quantitative evaluations and qualitative reviews with five expert radiologists demonstrate that CheXagent outperforms previously-developed general- and medical-domain FMs on CheXbench tasks. Furthermore, in an effort to improve model transparency, we perform a fairness evaluation across factors of sex, race and age to highlight potential performance disparities. Our project is at https://stanford-aimi.github.io/chexagent.html.

High-quality and open datasets remain a major bottleneck for text-to-image (T2I) fine-tuning. Despite rapid progress in model architectures and training pipelines, most publicly available fine-tuning datasets suffer from low resolution, poor text-image alignment, or limited diversity, resulting in a clear performance gap between open research models and enterprise-grade models. In this work, we present Fine-T2I, a large-scale, high-quality, and fully open dataset for T2I fine-tuning. Fine-T2I spans 10 task combinations, 32 prompt categories, 11 visual styles, and 5 prompt templates, and combines synthetic images generated by strong modern models with carefully curated real images from professional photographers. All samples are rigorously filtered for text-image alignment, visual fidelity, and prompt quality, with over 95% of initial candidates removed. The final dataset contains over 6 million text-image pairs, around 2 TB on disk, approaching the scale of pretraining datasets while maintaining fine-tuning-level quality. Across a diverse set of pretrained diffusion and autoregressive models, fine-tuning on Fine-T2I consistently improves both generation quality and instruction adherence, as validated by human evaluation, visual comparison, and automatic metrics. We release Fine-T2I under an open license to help close the data gap in T2I fine-tuning in the open community.

Unifying diverse image generation tasks within a single framework remains a fundamental challenge in visual generation. While large language models (LLMs) achieve unification through task-agnostic data and generation, existing visual generation models fail to meet these principles. Current approaches either rely on per-task datasets and large-scale training or adapt pre-trained image models with task-specific modifications, limiting their generalizability. In this work, we explore video models as a foundation for unified image generation, leveraging their inherent ability to model temporal correlations. We introduce RealGeneral, a novel framework that reformulates image generation as a conditional frame prediction task, analogous to in-context learning in LLMs. To bridge the gap between video models and condition-image pairs, we propose (1) a Unified Conditional Embedding module for multi-modal alignment and (2) a Unified Stream DiT Block with decoupled adaptive LayerNorm and attention mask to mitigate cross-modal interference. RealGeneral demonstrates effectiveness in multiple important visual generation tasks, e.g., it achieves a 14.5% improvement in subject similarity for customized generation and a 10% enhancement in image quality for canny-to-image task. Project page: https://lyne1.github.io/RealGeneral/

We investigate the internal representations of vision-and-language models (VLMs) and how they encode task representations. We consider tasks specified through examples or instructions, using either text or image inputs. Surprisingly, we find that conceptually similar tasks are mapped to similar task vector representations, regardless of how they are specified. Our findings suggest that to output answers, tokens in VLMs undergo three distinct phases: input, task, and answer, a process which is consistent across different modalities and specifications. The task vectors we identify in VLMs are general enough to be derived in one modality (e.g., text) and transferred to another (e.g., image). Additionally, we find that ensembling exemplar and instruction based task vectors produce better task representations. Taken together, these insights shed light on the underlying mechanisms of VLMs, particularly their ability to represent tasks in a shared manner across different modalities and task specifications. Project page: https://task-vectors-are-cross-modal.github.io.

With the rapid development of diffusion models, text-to-image(T2I) models have made significant progress, showcasing impressive abilities in prompt following and image generation. Recently launched models such as FLUX.1 and Ideogram2.0, along with others like Dall-E3 and Stable Diffusion 3, have demonstrated exceptional performance across various complex tasks, raising questions about whether T2I models are moving towards general-purpose applicability. Beyond traditional image generation, these models exhibit capabilities across a range of fields, including controllable generation, image editing, video, audio, 3D, and motion generation, as well as computer vision tasks like semantic segmentation and depth estimation. However, current evaluation frameworks are insufficient to comprehensively assess these models' performance across expanding domains. To thoroughly evaluate these models, we developed the IMAGINE-E and tested six prominent models: FLUX.1, Ideogram2.0, Midjourney, Dall-E3, Stable Diffusion 3, and Jimeng. Our evaluation is divided into five key domains: structured output generation, realism, and physical consistency, specific domain generation, challenging scenario generation, and multi-style creation tasks. This comprehensive assessment highlights each model's strengths and limitations, particularly the outstanding performance of FLUX.1 and Ideogram2.0 in structured and specific domain tasks, underscoring the expanding applications and potential of T2I models as foundational AI tools. This study provides valuable insights into the current state and future trajectory of T2I models as they evolve towards general-purpose usability. Evaluation scripts will be released at https://github.com/jylei16/Imagine-e.

Spatial understanding is a fundamental aspect of computer vision and integral for human-level reasoning about images, making it an important component for grounded language understanding. While recent text-to-image synthesis (T2I) models have shown unprecedented improvements in photorealism, it is unclear whether they have reliable spatial understanding capabilities. We investigate the ability of T2I models to generate correct spatial relationships among objects and present VISOR, an evaluation metric that captures how accurately the spatial relationship described in text is generated in the image. To benchmark existing models, we introduce a dataset, SR_{2D}, that contains sentences describing two or more objects and the spatial relationships between them. We construct an automated evaluation pipeline to recognize objects and their spatial relationships, and employ it in a large-scale evaluation of T2I models. Our experiments reveal a surprising finding that, although state-of-the-art T2I models exhibit high image quality, they are severely limited in their ability to generate multiple objects or the specified spatial relations between them. Our analyses demonstrate several biases and artifacts of T2I models such as the difficulty with generating multiple objects, a bias towards generating the first object mentioned, spatially inconsistent outputs for equivalent relationships, and a correlation between object co-occurrence and spatial understanding capabilities. We conduct a human study that shows the alignment between VISOR and human judgement about spatial understanding. We offer the SR_{2D} dataset and the VISOR metric to the community in support of T2I reasoning research.

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.

Text-to-image (T2I) generation has advanced rapidly, yet faithfully capturing spatial relationships described in natural language prompts remains a major challenge. Prior efforts have addressed this issue through prompt optimization, spatially grounded generation, and semantic refinement. This work introduces a lightweight approach that augments prompts with tuple-based structured information, using a fine-tuned language model for automatic conversion and seamless integration into T2I pipelines. Experimental results demonstrate substantial improvements in spatial accuracy, without compromising overall image quality as measured by Inception Score. Furthermore, the automatically generated tuples exhibit quality comparable to human-crafted tuples. This structured information provides a practical and portable solution to enhance spatial relationships in T2I generation, addressing a key limitation of current large-scale generative systems.

This paper presents a comprehensive evaluation of GPT-4V's capabilities across diverse medical imaging tasks, including Radiology Report Generation, Medical Visual Question Answering (VQA), and Visual Grounding. While prior efforts have explored GPT-4V's performance in medical image analysis, to the best of our knowledge, our study represents the first quantitative evaluation on publicly available benchmarks. Our findings highlight GPT-4V's potential in generating descriptive reports for chest X-ray images, particularly when guided by well-structured prompts. Meanwhile, its performance on the MIMIC-CXR dataset benchmark reveals areas for improvement in certain evaluation metrics, such as CIDEr. In the domain of Medical VQA, GPT-4V demonstrates proficiency in distinguishing between question types but falls short of the VQA-RAD benchmark in terms of accuracy. Furthermore, our analysis finds the limitations of conventional evaluation metrics like the BLEU scores, advocating for the development of more semantically robust assessment methods. In the field of Visual Grounding, GPT-4V exhibits preliminary promise in recognizing bounding boxes, but its precision is lacking, especially in identifying specific medical organs and signs. Our evaluation underscores the significant potential of GPT-4V in the medical imaging domain, while also emphasizing the need for targeted refinements to fully unlock its capabilities.

Computer Vision (CV) has yet to fully achieve the zero-shot task generalization observed in Natural Language Processing (NLP), despite following many of the milestones established in NLP, such as large transformer models, extensive pre-training, and the auto-regression paradigm, among others. In this paper, we explore the idea that CV adopts discrete and terminological task definitions (\eg, ``image segmentation''), which may be a key barrier to zero-shot task generalization. Our hypothesis is that without truly understanding previously-seen tasks--due to these terminological definitions--deep models struggle to generalize to novel tasks. To verify this, we introduce Explanatory Instructions, which provide an intuitive way to define CV task objectives through detailed linguistic transformations from input images to outputs. We create a large-scale dataset comprising 12 million ``image input to explanatory instruction to output'' triplets, and train an auto-regressive-based vision-language model (AR-based VLM) that takes both images and explanatory instructions as input. By learning to follow these instructions, the AR-based VLM achieves instruction-level zero-shot capabilities for previously-seen tasks and demonstrates strong zero-shot generalization for unseen CV tasks. Code and dataset will be openly available on our GitHub repository.

Text-to-image (T2I) generation has seen significant progress with diffusion models, enabling generation of photo-realistic images from text prompts. Despite this progress, existing methods still face challenges in following complex text prompts, especially those requiring compositional and multi-step reasoning. Given such complex instructions, SOTA models often make mistakes in faithfully modeling object attributes, and relationships among them. In this work, we present an alternate paradigm for T2I synthesis, decomposing the task of complex multi-step generation into three steps, (a) Generate: we first generate an image using existing diffusion models (b) Plan: we make use of Multi-Modal LLMs (MLLMs) to identify the mistakes in the generated image expressed in terms of individual objects and their properties, and produce a sequence of corrective steps required in the form of an edit-plan. (c) Edit: we make use of an existing text-guided image editing models to sequentially execute our edit-plan over the generated image to get the desired image which is faithful to the original instruction. Our approach derives its strength from the fact that it is modular in nature, is training free, and can be applied over any combination of image generation and editing models. As an added contribution, we also develop a model capable of compositional editing, which further helps improve the overall accuracy of our proposed approach. Our method flexibly trades inference time compute with performance on compositional text prompts. We perform extensive experimental evaluation across 3 benchmarks and 10 T2I models including DALLE-3 and the latest -- SD-3.5-Large. Our approach not only improves the performance of the SOTA models, by upto 3 points, it also reduces the performance gap between weaker and stronger models. https://dair-iitd.github.io/GraPE/{https://dair-iitd.github.io/GraPE/}

Multimodal foundation models, such as GPT-4o, have recently made remarkable progress, but it is not clear where exactly these models stand in terms of understanding vision. In this paper, we benchmark the performance of popular multimodal foundation models (GPT-4o, o4-mini, Gemini 1.5 Pro and Gemini 2.0 Flash, Claude 3.5 Sonnet, Qwen2-VL, Llama 3.2) on standard computer vision tasks (semantic segmentation, object detection, image classification, depth and surface normal prediction) using established datasets (e.g., COCO, ImageNet and its variants, etc). The main challenges to performing this are: 1) most models are trained to output text and cannot natively express versatile domains, such as segments or 3D geometry, and 2) many leading models are proprietary and accessible only at an API level, i.e., there is no weight access to adapt them. We address these challenges by translating standard vision tasks into equivalent text-promptable and API-compatible tasks via prompt chaining to create a standardized benchmarking framework. We observe that 1) the models are not close to the state-of-the-art specialist models at any task. However, 2) they are respectable generalists; this is remarkable as they are presumably trained on primarily image-text-based tasks. 3) They perform semantic tasks notably better than geometric ones. 4) While the prompt-chaining techniques affect performance, better models exhibit less sensitivity to prompt variations. 5) GPT-4o performs the best among non-reasoning models, securing the top position in 4 out of 6 tasks, 6) reasoning models, e.g. o3, show improvements in geometric tasks, and 7) a preliminary analysis of models with native image generation, like the latest GPT-4o, shows they exhibit quirks like hallucinations and spatial misalignments.

Despite remarkable advancements, current Text-to-Image (T2I) models struggle with complex, long-form textual instructions, frequently failing to accurately render intricate details, spatial relationships, or specific constraints. This limitation is highlighted by benchmarks such as LongBench-T2I, which reveal deficiencies in handling composition, specific text, and fine textures. To address this, we propose DeCoT (Decomposition-CoT), a novel framework that leverages Large Language Models (LLMs) to significantly enhance T2I models' understanding and execution of complex instructions. DeCoT operates in two core stages: first, Complex Instruction Decomposition and Semantic Enhancement, where an LLM breaks down raw instructions into structured, actionable semantic units and clarifies ambiguities; second, Multi-Stage Prompt Integration and Adaptive Generation, which transforms these units into a hierarchical or optimized single prompt tailored for existing T2I models. Extensive experiments on the LongBench-T2I dataset demonstrate that DeCoT consistently and substantially improves the performance of leading T2I models across all evaluated dimensions, particularly in challenging aspects like "Text" and "Composition". Quantitative results, validated by multiple MLLM evaluators (Gemini-2.0-Flash and InternVL3-78B), show that DeCoT, when integrated with Infinity-8B, achieves an average score of 3.52, outperforming the baseline Infinity-8B (3.44). Ablation studies confirm the critical contribution of each DeCoT component and the importance of sophisticated LLM prompting. Furthermore, human evaluations corroborate these findings, indicating superior perceptual quality and instruction fidelity. DeCoT effectively bridges the gap between high-level user intent and T2I model requirements, leading to more faithful and accurate image generation.

Text-to-image (T2I) research has grown explosively in the past year, owing to the large-scale pre-trained diffusion models and many emerging personalization and editing approaches. Yet, one pain point persists: the text prompt engineering, and searching high-quality text prompts for customized results is more art than science. Moreover, as commonly argued: "an image is worth a thousand words" - the attempt to describe a desired image with texts often ends up being ambiguous and cannot comprehensively cover delicate visual details, hence necessitating more additional controls from the visual domain. In this paper, we take a bold step forward: taking "Text" out of a pre-trained T2I diffusion model, to reduce the burdensome prompt engineering efforts for users. Our proposed framework, Prompt-Free Diffusion, relies on only visual inputs to generate new images: it takes a reference image as "context", an optional image structural conditioning, and an initial noise, with absolutely no text prompt. The core architecture behind the scene is Semantic Context Encoder (SeeCoder), substituting the commonly used CLIP-based or LLM-based text encoder. The reusability of SeeCoder also makes it a convenient drop-in component: one can also pre-train a SeeCoder in one T2I model and reuse it for another. Through extensive experiments, Prompt-Free Diffusion is experimentally found to (i) outperform prior exemplar-based image synthesis approaches; (ii) perform on par with state-of-the-art T2I models using prompts following the best practice; and (iii) be naturally extensible to other downstream applications such as anime figure generation and virtual try-on, with promising quality. Our code and models are open-sourced at https://github.com/SHI-Labs/Prompt-Free-Diffusion.

To enhance controllability in text-to-image generation, ControlNet introduces image-based control signals, while ControlNet++ improves pixel-level cycle consistency between generated images and the input control signal. To avoid the prohibitive cost of back-propagating through the sampling process, ControlNet++ optimizes only low-noise timesteps (e.g., t < 200) using a single-step approximation, which not only ignores the contribution of high-noise timesteps but also introduces additional approximation errors. A straightforward alternative for optimizing controllability across all timesteps is Direct Preference Optimization (DPO), a fine-tuning method that increases model preference for more controllable images (I^{w}) over less controllable ones (I^{l}). However, due to uncertainty in generative models, it is difficult to ensure that win--lose image pairs differ only in controllability while keeping other factors, such as image quality, fixed. To address this, we propose performing preference learning over control conditions rather than generated images. Specifically, we construct winning and losing control signals, c^{w} and c^{l}, and train the model to prefer c^{w}. This method, which we term Condition Preference Optimization (CPO), eliminates confounding factors and yields a low-variance training objective. Our approach theoretically exhibits lower contrastive loss variance than DPO and empirically achieves superior results. Moreover, CPO requires less computation and storage for dataset curation. Extensive experiments show that CPO significantly improves controllability over the state-of-the-art ControlNet++ across multiple control types: over 10% error rate reduction in segmentation, 70--80% in human pose, and consistent 2--5% reductions in edge and depth maps.

Text-to-Image (T2I) models have recently achieved remarkable success in generating images from textual descriptions. However, challenges still persist in accurately rendering complex scenes where actions and interactions form the primary semantic focus. Our key observation in this work is that T2I models frequently struggle to capture nuanced and often implicit attributes inherent in action depiction, leading to generating images that lack key contextual details. To enable systematic evaluation, we introduce AcT2I, a benchmark designed to evaluate the performance of T2I models in generating images from action-centric prompts. We experimentally validate that leading T2I models do not fare well on AcT2I. We further hypothesize that this shortcoming arises from the incomplete representation of the inherent attributes and contextual dependencies in the training corpora of existing T2I models. We build upon this by developing a training-free, knowledge distillation technique utilizing Large Language Models to address this limitation. Specifically, we enhance prompts by incorporating dense information across three dimensions, observing that injecting prompts with temporal details significantly improves image generation accuracy, with our best model achieving an increase of 72%. Our findings highlight the limitations of current T2I methods in generating images that require complex reasoning and demonstrate that integrating linguistic knowledge in a systematic way can notably advance the generation of nuanced and contextually accurate images.

Diffusion models have revitalized the image generation domain, playing crucial roles in both academic research and artistic expression. With the emergence of new diffusion models, assessing the performance of text-to-image models has become increasingly important. Current metrics focus on directly matching the input text with the generated image, but due to cross-modal information asymmetry, this leads to unreliable or incomplete assessment results. Motivated by this, we introduce the Image Regeneration task in this study to assess text-to-image models by tasking the T2I model with generating an image according to the reference image. We use GPT4V to bridge the gap between the reference image and the text input for the T2I model, allowing T2I models to understand image content. This evaluation process is simplified as comparisons between the generated image and the reference image are straightforward. Two regeneration datasets spanning content-diverse and style-diverse evaluation dataset are introduced to evaluate the leading diffusion models currently available. Additionally, we present ImageRepainter framework to enhance the quality of generated images by improving content comprehension via MLLM guided iterative generation and revision. Our comprehensive experiments have showcased the effectiveness of this framework in assessing the generative capabilities of models. By leveraging MLLM, we have demonstrated that a robust T2M can produce images more closely resembling the reference image.

Benchmarks of the multilingual capabilities of text-to-image (T2I) models compare generated images prompted in a test language to an expected image distribution over a concept set. One such benchmark, "Conceptual Coverage Across Languages" (CoCo-CroLa), assesses the tangible noun inventory of T2I models by prompting them to generate pictures from a concept list translated to seven languages and comparing the output image populations. Unfortunately, we find that this benchmark contains translation errors of varying severity in Spanish, Japanese, and Chinese. We provide corrections for these errors and analyze how impactful they are on the utility and validity of CoCo-CroLa as a benchmark. We reassess multiple baseline T2I models with the revisions, compare the outputs elicited under the new translations to those conditioned on the old, and show that a correction's impactfulness on the image-domain benchmark results can be predicted in the text domain with similarity scores. Our findings will guide the future development of T2I multilinguality metrics by providing analytical tools for practical translation decisions.

Recent advancements in Large Vision-Language Models are accelerating the development of Graphical User Interface (GUI) agents that utilize human-like vision perception capabilities to enhance productivity on digital devices. Compared to approaches predicated on GUI metadata, which are platform-dependent and vulnerable to implementation variations, vision-based approaches offer broader applicability. In this vision-based paradigm, the GUI instruction grounding, which maps user instruction to the location of corresponding element on the given screenshot, remains a critical challenge, particularly due to limited public training dataset and resource-intensive manual instruction data annotation. In this paper, we delve into unexplored challenges in this task including element-to-screen ratio, unbalanced element type, and implicit instruction. To address these challenges, we introduce a large-scale data synthesis pipeline UI-E2I-Synth for generating varying complex instruction datasets using GPT-4o instead of human annotators. Furthermore, we propose a new GUI instruction grounding benchmark UI-I2E-Bench, which is designed to address the limitations of existing benchmarks by incorporating diverse annotation aspects. Our model, trained on the synthesized data, achieves superior performance in GUI instruction grounding, demonstrating the advancements of proposed data synthesis pipeline. The proposed benchmark, accompanied by extensive analyses, provides practical insights for future research in GUI grounding. We will release corresponding artifacts at https://colmon46.github.io/i2e-bench-leaderboard/ .

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%.

Unlike language tasks, where the output space is usually limited to a set of tokens, the output space of visual tasks is more complicated, making it difficult to build a unified visual model for various visual tasks. In this paper, we seek to unify the output space of visual tasks, so that we can also build a unified model for visual tasks. To this end, we demonstrate a single unified model that simultaneously handles two typical visual tasks of instance segmentation and depth estimation, which have discrete/fixed-length and continuous/varied-length outputs, respectively. We propose several new techniques that take into account the particularity of visual tasks: 1) Soft token. We employ soft token to represent the task output. Unlike hard tokens in the common VQ-VAE which are assigned one-hot to discrete codebooks/vocabularies, the soft token is assigned softly to the codebook embeddings. Soft token can improve the accuracy of both the next token inference and decoding of the task output; 2) Mask augmentation. Many visual tasks have corruption, undefined or invalid values in label annotations, i.e., occluded area of depth maps. We show that a mask augmentation technique can greatly benefit these tasks. With these new techniques and other designs, we show that the proposed general-purpose task-solver can perform both instance segmentation and depth estimation well. Particularly, we achieve 0.279 RMSE on the specific task of NYUv2 depth estimation, setting a new record on this benchmark. The general-purpose task-solver, dubbed AiT, is available at https://github.com/SwinTransformer/AiT.

Despite recent advances in text-to-image (T2I) models, they often fail to faithfully render all elements of complex prompts, frequently omitting or misrepresenting specific objects and attributes. Test-time optimization has emerged as a promising approach to address this limitation by refining generation without the need for retraining. In this paper, we propose a fine-grained test-time optimization framework that enhances compositional faithfulness in T2I generation. Unlike most of prior approaches that rely solely on a global image/text similarity score, our method decomposes the input prompt into semantic concepts and evaluates alignment at both the global and concept levels. A fine-grained variant of CLIP is used to compute concept-level correspondence, producing detailed feedback on missing or inaccurate concepts. This feedback is fed into an iterative prompt refinement loop, enabling the large language model to propose improved prompts. Experiments on DrawBench and CompBench prompts demonstrate that our method significantly improves concept coverage and human-judged faithfulness over both standard test-time optimization and the base T2I model. Code is available at: https://github.com/AmirMansurian/NoConceptLeftBehind

This paper presents a versatile image-to-image visual assistant, PixWizard, designed for image generation, manipulation, and translation based on free-from language instructions. To this end, we tackle a variety of vision tasks into a unified image-text-to-image generation framework and curate an Omni Pixel-to-Pixel Instruction-Tuning Dataset. By constructing detailed instruction templates in natural language, we comprehensively include a large set of diverse vision tasks such as text-to-image generation, image restoration, image grounding, dense image prediction, image editing, controllable generation, inpainting/outpainting, and more. Furthermore, we adopt Diffusion Transformers (DiT) as our foundation model and extend its capabilities with a flexible any resolution mechanism, enabling the model to dynamically process images based on the aspect ratio of the input, closely aligning with human perceptual processes. The model also incorporates structure-aware and semantic-aware guidance to facilitate effective fusion of information from the input image. Our experiments demonstrate that PixWizard not only shows impressive generative and understanding abilities for images with diverse resolutions but also exhibits promising generalization capabilities with unseen tasks and human instructions. The code and related resources are available at https://github.com/AFeng-x/PixWizard

Large-scale diffusion models have achieved state-of-the-art results on text-to-image synthesis (T2I) tasks. Despite their ability to generate high-quality yet creative images, we observe that attribution-binding and compositional capabilities are still considered major challenging issues, especially when involving multiple objects. In this work, we improve the compositional skills of T2I models, specifically more accurate attribute binding and better image compositions. To do this, we incorporate linguistic structures with the diffusion guidance process based on the controllable properties of manipulating cross-attention layers in diffusion-based T2I models. We observe that keys and values in cross-attention layers have strong semantic meanings associated with object layouts and content. Therefore, we can better preserve the compositional semantics in the generated image by manipulating the cross-attention representations based on linguistic insights. Built upon Stable Diffusion, a SOTA T2I model, our structured cross-attention design is efficient that requires no additional training samples. We achieve better compositional skills in qualitative and quantitative results, leading to a 5-8% advantage in head-to-head user comparison studies. Lastly, we conduct an in-depth analysis to reveal potential causes of incorrect image compositions and justify the properties of cross-attention layers in the generation process.

ControlNet has enabled detailed spatial control in text-to-image diffusion models by incorporating additional visual conditions such as depth or edge maps. However, its effectiveness heavily depends on the availability of visual conditions that are precisely aligned with the generation goal specified by text prompt-a requirement that often fails in practice, especially for uncommon or imaginative scenes. For example, generating an image of a cat cooking in a specific pose may be infeasible due to the lack of suitable visual conditions. In contrast, structurally similar cues can often be found in more common settings-for instance, poses of humans cooking are widely available and can serve as rough visual guides. Unfortunately, existing ControlNet models struggle to use such loosely aligned visual conditions, often resulting in low text fidelity or visual artifacts. To address this limitation, we propose SemanticControl, a training-free method for effectively leveraging misaligned but semantically relevant visual conditions. Our approach adaptively suppresses the influence of the visual condition where it conflicts with the prompt, while strengthening guidance from the text. The key idea is to first run an auxiliary denoising process using a surrogate prompt aligned with the visual condition (e.g., "a human playing guitar" for a human pose condition) to extract informative attention masks, and then utilize these masks during the denoising of the actual target prompt (e.g., cat playing guitar). Experimental results demonstrate that our method improves performance under loosely aligned conditions across various conditions, including depth maps, edge maps, and human skeletons, outperforming existing baselines. Our code is available at https://mung3477.github.io/semantic-control.

Text-to-Image (T2I) generation has made significant advancements with the advent of diffusion models. These models exhibit remarkable abilities to produce images based on textual prompts. Current T2I models allow users to specify object colors using linguistic color names. However, these labels encompass broad color ranges, making it difficult to achieve precise color matching. To tackle this challenging task, named color prompt learning, we propose to learn specific color prompts tailored to user-selected colors. Existing T2I personalization methods tend to result in color-shape entanglement. To overcome this, we generate several basic geometric objects in the target color, allowing for color and shape disentanglement during the color prompt learning. Our method, denoted as ColorPeel, successfully assists the T2I models to peel off the novel color prompts from these colored shapes. In the experiments, we demonstrate the efficacy of ColorPeel in achieving precise color generation with T2I models. Furthermore, we generalize ColorPeel to effectively learn abstract attribute concepts, including textures, materials, etc. Our findings represent a significant step towards improving precision and versatility of T2I models, offering new opportunities for creative applications and design tasks. Our project is available at https://moatifbutt.github.io/colorpeel/.

Autoregressive multimodal large language models have recently gained popularity for image generation, driven by advances in foundation models. To enhance alignment and detail, newer approaches employ chain-of-thought (CoT) reasoning, expanding user inputs into elaborated prompts prior to image synthesis. However, this strategy can introduce unnecessary redundancy -- a phenomenon we call visual overthinking -- which increases computational costs and can introduce details that contradict the original prompt. In this work, we explore how to generate more concise CoT sequences for more efficient image generation. We introduce ShortCoTI, a lightweight optimization framework that encourages more concise CoT while preserving output image quality. ShortCoTI rewards more concise prompts with an adaptive function that scales according to an estimated difficulty for each task. Incorporating this reward into a reinforcement learning paradigm reduces prompt reasoning length by 54% while maintaining or slightly improving quality metrics across multiple benchmarks (T2I-CompBench, GenEval). Qualitative analysis shows that our method eliminates verbose explanations and repetitive refinements, producing reasoning prompts that are both concise and semantically rich. As a result, ShortCoTI improves computational efficiency without compromising the fidelity or visual appeal of generated images.

Recent text-to-image diffusion models excel at generating high-resolution images from text but struggle with precise control over spatial composition and object counting. To address these challenges, several studies developed layout-to-image (L2I) approaches that incorporate layout instructions into text-to-image models. However, existing L2I methods typically require either fine-tuning pretrained parameters or training additional control modules for the diffusion models. In this work, we propose a novel zero-shot L2I approach, BACON (Boundary Attention Constrained generation), which eliminates the need for additional modules or fine-tuning. Specifically, we use text-visual cross-attention feature maps to quantify inconsistencies between the layout of the generated images and the provided instructions, and then compute loss functions to optimize latent features during the diffusion reverse process. To enhance spatial controllability and mitigate semantic failures in complex layout instructions, we leverage pixel-to-pixel correlations in the self-attention feature maps to align cross-attention maps and combine three loss functions constrained by boundary attention to update latent features. Comprehensive experimental results on both L2I and non-L2I pretrained diffusion models demonstrate that our method outperforms existing zero-shot L2I techniuqes both quantitatively and qualitatively in terms of image composition on the DrawBench and HRS benchmarks.

With the rapid development of diffusion models in image generation, the demand for more powerful and flexible controllable frameworks is increasing. Although existing methods can guide generation beyond text prompts, the challenge of effectively combining multiple conditional inputs while maintaining consistency with all of them remains unsolved. To address this, we introduce UniCombine, a DiT-based multi-conditional controllable generative framework capable of handling any combination of conditions, including but not limited to text prompts, spatial maps, and subject images. Specifically, we introduce a novel Conditional MMDiT Attention mechanism and incorporate a trainable LoRA module to build both the training-free and training-based versions. Additionally, we propose a new pipeline to construct SubjectSpatial200K, the first dataset designed for multi-conditional generative tasks covering both the subject-driven and spatially-aligned conditions. Extensive experimental results on multi-conditional generation demonstrate the outstanding universality and powerful capability of our approach with state-of-the-art performance.

The emergence of generative models has revolutionized the field of remote sensing (RS) image generation. Despite generating high-quality images, existing methods are limited in relying mainly on text control conditions, and thus do not always generate images accurately and stably. In this paper, we propose CRS-Diff, a new RS generative framework specifically tailored for RS image generation, leveraging the inherent advantages of diffusion models while integrating more advanced control mechanisms. Specifically, CRS-Diff can simultaneously support text-condition, metadata-condition, and image-condition control inputs, thus enabling more precise control to refine the generation process. To effectively integrate multiple condition control information, we introduce a new conditional control mechanism to achieve multi-scale feature fusion, thus enhancing the guiding effect of control conditions. To our knowledge, CRS-Diff is the first multiple-condition controllable RS generative model. Experimental results in single-condition and multiple-condition cases have demonstrated the superior ability of our CRS-Diff to generate RS images both quantitatively and qualitatively compared with previous methods. Additionally, our CRS-Diff can serve as a data engine that generates high-quality training data for downstream tasks, e.g., road extraction. The code is available at https://github.com/Sonettoo/CRS-Diff.

Chest Xray imaging is a widely used diagnostic tool in modern medicine, and its high utilization creates substantial workloads for radiologists. To alleviate this burden, vision language models are increasingly applied to automate Chest Xray radiology report generation (CXRRRG), aiming for clinically accurate descriptions while reducing manual effort. Conventional approaches, however, typically rely on single images, failing to capture the longitudinal context necessary for producing clinically faithful comparison statements. Recently, growing attention has been directed toward incorporating longitudinal data into CXR RRG, enabling models to leverage historical studies in ways that mirror radiologists diagnostic workflows. Nevertheless, existing surveys primarily address single image CXRRRG and offer limited guidance for longitudinal settings, leaving researchers without a systematic framework for model design. To address this gap, this survey provides the first comprehensive review of longitudinal radiology report generation (LRRG). Specifically, we examine dataset construction strategies, report generation architectures alongside longitudinally tailored designs, and evaluation protocols encompassing both longitudinal specific measures and widely used benchmarks. We further summarize LRRG methods performance, alongside analyses of different ablation studies, which collectively highlight the critical role of longitudinal information and architectural design choices in improving model performance. Finally, we summarize five major limitations of current research and outline promising directions for future development, aiming to lay a foundation for advancing this emerging field.

While modern text-to-image models excel at prompt-based generation, they often lack the fine-grained control necessary for specific user requirements like spatial layouts or subject appearances. Multi-condition control addresses this, yet its integration into Diffusion Transformers (DiTs) is bottlenecked by the conventional ``concatenate-and-attend'' strategy, which suffers from quadratic computational and memory overhead as the number of conditions scales. Our analysis reveals that much of this cross-modal interaction is spatially or semantically redundant. To this end, we propose Position-aligned and Keyword-scoped Attention (PKA), a highly efficient framework designed to eliminate these redundancies. Specifically, Position-Aligned Attention (PAA) linearizes spatial control by enforcing localized patch alignment, while Keyword-Scoped Attention (KSA) prunes irrelevant subject-driven interactions via semantic-aware masking. To facilitate efficient learning, we further introduce a Conditional Sensitivity-Aware Sampling (CSAS) strategy that reweights the training objective towards critical denoising phases, drastically accelerating convergence and enhancing conditional fidelity. Empirically, PKA delivers a 10.0times inference speedup and a 5.1times VRAM saving, providing a scalable and resource-friendly solution for high-fidelity multi-conditioned generation.

Bridging clinical diagnostic reasoning with AI remains a central challenge in medical imaging. We introduce MedCLM, an automated pipeline that converts detection datasets into large-scale medical visual question answering (VQA) data with Chain-of-Thought (CoT) reasoning by linking lesion boxes to organ segmentation and structured rationales. These contextual signals enable medical vision-language models to generate question-answer pairs with step-by-step reasoning. To utilize this data effectively, we propose an Integrated CoT-Curriculum Strategy composed of an Easy stage with explicit lesion boxes for visual grounding, a Medium stage that encourages implicit localization, and a Hard stage for weakly supervised reasoning. Experimental results demonstrate that MedCLM attains state-of-the-art performance on several medical VQA benchmarks, providing a scalable framework for developing clinically aligned medical vision-language models.

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.

Recent progress in Large Vision-Language Models (LVLMs) has enabled promising applications in medical tasks, such as report generation and visual question answering. However, existing benchmarks focus mainly on the final diagnostic answer, offering limited insight into whether models engage in clinically meaningful reasoning. To address this, we present CheXStruct and CXReasonBench, a structured pipeline and benchmark built on the publicly available MIMIC-CXR-JPG dataset. CheXStruct automatically derives a sequence of intermediate reasoning steps directly from chest X-rays, such as segmenting anatomical regions, deriving anatomical landmarks and diagnostic measurements, computing diagnostic indices, and applying clinical thresholds. CXReasonBench leverages this pipeline to evaluate whether models can perform clinically valid reasoning steps and to what extent they can learn from structured guidance, enabling fine-grained and transparent assessment of diagnostic reasoning. The benchmark comprises 18,988 QA pairs across 12 diagnostic tasks and 1,200 cases, each paired with up to 4 visual inputs, and supports multi-path, multi-stage evaluation including visual grounding via anatomical region selection and diagnostic measurements. Even the strongest of 10 evaluated LVLMs struggle with structured reasoning and generalization, often failing to link abstract knowledge with anatomically grounded visual interpretation. The code is available at https://github.com/ttumyche/CXReasonBench

Radiologic diagnostic errors-under-reading errors, inattentional blindness, and communication failures-remain prevalent in clinical practice. These issues often stem from missed localized abnormalities, limited global context, and variability in report language. These challenges are amplified in 3D imaging, where clinicians must examine hundreds of slices per scan. Addressing them requires systems with precise localized detection, global volume-level reasoning, and semantically consistent natural language reporting. However, existing 3D vision-language models are unable to meet all three needs jointly, lacking local-global understanding for spatial reasoning and struggling with the variability and noise of uncurated radiology reports. We present MedVista3D, a multi-scale semantic-enriched vision-language pretraining framework for 3D CT analysis. To enable joint disease detection and holistic interpretation, MedVista3D performs local and global image-text alignment for fine-grained representation learning within full-volume context. To address report variability, we apply language model rewrites and introduce a Radiology Semantic Matching Bank for semantics-aware alignment. MedVista3D achieves state-of-the-art performance on zero-shot disease classification, report retrieval, and medical visual question answering, while transferring well to organ segmentation and prognosis prediction. Code and datasets will be released.

The automated generation of imaging reports proves invaluable in alleviating the workload of radiologists. A clinically applicable reports generation algorithm should demonstrate its effectiveness in producing reports that accurately describe radiology findings and attend to patient-specific indications. In this paper, we introduce a novel method, Structural Entities extraction and patient indications Incorporation (SEI) for chest X-ray report generation. Specifically, we employ a structural entities extraction (SEE) approach to eliminate presentation-style vocabulary in reports and improve the quality of factual entity sequences. This reduces the noise in the following cross-modal alignment module by aligning X-ray images with factual entity sequences in reports, thereby enhancing the precision of cross-modal alignment and further aiding the model in gradient-free retrieval of similar historical cases. Subsequently, we propose a cross-modal fusion network to integrate information from X-ray images, similar historical cases, and patient-specific indications. This process allows the text decoder to attend to discriminative features of X-ray images, assimilate historical diagnostic information from similar cases, and understand the examination intention of patients. This, in turn, assists in triggering the text decoder to produce high-quality reports. Experiments conducted on MIMIC-CXR validate the superiority of SEI over state-of-the-art approaches on both natural language generation and clinical efficacy metrics.

Medical imaging analysis plays a critical role in the diagnosis and treatment of various medical conditions. This paper focuses on chest X-ray images and their corresponding radiological reports. It presents a new model that learns a joint X-ray image & report representation. The model is based on a novel alignment scheme between the visual data and the text, which takes into account both local and global information. Furthermore, the model integrates domain-specific information of two types -- lateral images and the consistent visual structure of chest images. Our representation is shown to benefit three types of retrieval tasks: text-image retrieval, class-based retrieval, and phrase-grounding.

Chest X-ray imaging is crucial for diagnosing pulmonary and cardiac diseases, yet its interpretation demands extensive clinical experience and suffers from inter-observer variability. While deep learning models offer high diagnostic accuracy, their black-box nature hinders clinical adoption in high-stakes medical settings. To address this, we propose X-Ray-CoT (Chest X-Ray Chain-of-Thought), a novel framework leveraging Vision-Language Large Models (LVLMs) for intelligent chest X-ray diagnosis and interpretable report generation. X-Ray-CoT simulates human radiologists' "chain-of-thought" by first extracting multi-modal features and visual concepts, then employing an LLM-based component with a structured Chain-of-Thought prompting strategy to reason and produce detailed natural language diagnostic reports. Evaluated on the CORDA dataset, X-Ray-CoT achieves competitive quantitative performance, with a Balanced Accuracy of 80.52% and F1 score of 78.65% for disease diagnosis, slightly surpassing existing black-box models. Crucially, it uniquely generates high-quality, explainable reports, as validated by preliminary human evaluations. Our ablation studies confirm the integral role of each proposed component, highlighting the necessity of multi-modal fusion and CoT reasoning for robust and transparent medical AI. This work represents a significant step towards trustworthy and clinically actionable AI systems in medical imaging.

Chain-of-Thought (CoT) reasoning has proven effective in enhancing large language models by encouraging step-by-step intermediate reasoning, and recent advances have extended this paradigm to Multimodal Large Language Models (MLLMs). In the medical domain, where diagnostic decisions depend on nuanced visual cues and sequential reasoning, CoT aligns naturally with clinical thinking processes. However, Current benchmarks for medical image understanding generally focus on the final answer while ignoring the reasoning path. An opaque process lacks reliable bases for judgment, making it difficult to assist doctors in diagnosis. To address this gap, we introduce a new M3CoTBench benchmark specifically designed to evaluate the correctness, efficiency, impact, and consistency of CoT reasoning in medical image understanding. M3CoTBench features 1) a diverse, multi-level difficulty dataset covering 24 examination types, 2) 13 varying-difficulty tasks, 3) a suite of CoT-specific evaluation metrics (correctness, efficiency, impact, and consistency) tailored to clinical reasoning, and 4) a performance analysis of multiple MLLMs. M3CoTBench systematically evaluates CoT reasoning across diverse medical imaging tasks, revealing current limitations of MLLMs in generating reliable and clinically interpretable reasoning, and aims to foster the development of transparent, trustworthy, and diagnostically accurate AI systems for healthcare. Project page at https://juntaojianggavin.github.io/projects/M3CoTBench/.

Medical report generation from X-ray images is a challenging task, particularly in an unpaired setting where paired image-report data is unavailable for training. To address this challenge, we propose a novel model that leverages the available information in two distinct datasets, one comprising reports and the other consisting of images. The core idea of our model revolves around the notion that combining auto-encoding report generation with multi-modal (report-image) alignment can offer a solution. However, the challenge persists regarding how to achieve this alignment when pair correspondence is absent. Our proposed solution involves the use of auxiliary tasks, particularly contrastive learning and classification, to position related images and reports in close proximity to each other. This approach differs from previous methods that rely on pre-processing steps, such as using external information stored in a knowledge graph. Our model, named MedRAT, surpasses previous state-of-the-art methods, demonstrating the feasibility of generating comprehensive medical reports without the need for paired data or external tools.

In the field of chest X-ray (CXR) diagnosis, existing works often focus solely on determining where a radiologist looks, typically through tasks such as detection, segmentation, or classification. However, these approaches are often designed as black-box models, lacking interpretability. In this paper, we introduce Interpretable Artificial Intelligence (I-AI) a novel and unified controllable interpretable pipeline for decoding the intense focus of radiologists in CXR diagnosis. Our I-AI addresses three key questions: where a radiologist looks, how long they focus on specific areas, and what findings they diagnose. By capturing the intensity of the radiologist's gaze, we provide a unified solution that offers insights into the cognitive process underlying radiological interpretation. Unlike current methods that rely on black-box machine learning models, which can be prone to extracting erroneous information from the entire input image during the diagnosis process, we tackle this issue by effectively masking out irrelevant information. Our proposed I-AI leverages a vision-language model, allowing for precise control over the interpretation process while ensuring the exclusion of irrelevant features. To train our I-AI model, we utilize an eye gaze dataset to extract anatomical gaze information and generate ground truth heatmaps. Through extensive experimentation, we demonstrate the efficacy of our method. We showcase that the attention heatmaps, designed to mimic radiologists' focus, encode sufficient and relevant information, enabling accurate classification tasks using only a portion of CXR. The code, checkpoints, and data are at https://github.com/UARK-AICV/IAI

Radiology reporting is a complex task that requires detailed image understanding, integration of multiple inputs, including comparison with prior imaging, and precise language generation. This makes it ideal for the development and use of generative multimodal models. Here, we extend report generation to include the localisation of individual findings on the image - a task we call grounded report generation. Prior work indicates that grounding is important for clarifying image understanding and interpreting AI-generated text. Therefore, grounded reporting stands to improve the utility and transparency of automated report drafting. To enable evaluation of grounded reporting, we propose a novel evaluation framework - RadFact - leveraging the reasoning capabilities of large language models (LLMs). RadFact assesses the factuality of individual generated sentences, as well as correctness of generated spatial localisations when present. We introduce MAIRA-2, a large multimodal model combining a radiology-specific image encoder with a LLM, and trained for the new task of grounded report generation on chest X-rays. MAIRA-2 uses more comprehensive inputs than explored previously: the current frontal image, the current lateral image, the prior frontal image and prior report, as well as the Indication, Technique and Comparison sections of the current report. We demonstrate that these additions significantly improve report quality and reduce hallucinations, establishing a new state of the art on findings generation (without grounding) on MIMIC-CXR while demonstrating the feasibility of grounded reporting as a novel and richer task.

The rapid development of text-to-image (T2I) generation approaches has attracted extensive interest in evaluating the quality of generated images, leading to the development of various quality assessment methods for general-purpose T2I outputs. However, existing image quality assessment (IQA) methods are limited to providing global quality scores, failing to deliver fine-grained perceptual evaluations for structurally complex subjects like humans, which is a critical challenge considering the frequent anatomical and textural distortions in AI-generated human images (AGHIs). To address this gap, we introduce AGHI-QA, the first large-scale benchmark specifically designed for quality assessment of AGHIs. The dataset comprises 4,000 images generated from 400 carefully crafted text prompts using 10 state of-the-art T2I models. We conduct a systematic subjective study to collect multidimensional annotations, including perceptual quality scores, text-image correspondence scores, visible and distorted body part labels. Based on AGHI-QA, we evaluate the strengths and weaknesses of current T2I methods in generating human images from multiple dimensions. Furthermore, we propose AGHI-Assessor, a novel quality metric that integrates the large multimodal model (LMM) with domain-specific human features for precise quality prediction and identification of visible and distorted body parts in AGHIs. Extensive experimental results demonstrate that AGHI-Assessor showcases state-of-the-art performance, significantly outperforming existing IQA methods in multidimensional quality assessment and surpassing leading LMMs in detecting structural distortions in AGHIs.

Recent advances in text-to-image (T2I) generation have shown remarkable success in producing high-quality images from text. However, existing T2I models show decayed performance in compositional image generation involving multiple objects and intricate relationships. We attribute this problem to limitations in existing datasets of image-text pairs, which lack precise inter-object relationship annotations with prompts only. To address this problem, we construct LAION-SG, a large-scale dataset with high-quality structural annotations of scene graphs (SG), which precisely describe attributes and relationships of multiple objects, effectively representing the semantic structure in complex scenes. Based on LAION-SG, we train a new foundation model SDXL-SG to incorporate structural annotation information into the generation process. Extensive experiments show advanced models trained on our LAION-SG boast significant performance improvements in complex scene generation over models on existing datasets. We also introduce CompSG-Bench, a benchmark that evaluates models on compositional image generation, establishing a new standard for this domain.

Radiology reporting generative AI holds significant potential to alleviate clinical workloads and streamline medical care. However, achieving high clinical accuracy is challenging, as radiological images often feature subtle lesions and intricate structures. Existing systems often fall short, largely due to their reliance on fixed size, patch-level image features and insufficient incorporation of pathological information. This can result in the neglect of such subtle patterns and inconsistent descriptions of crucial pathologies. To address these challenges, we propose an innovative approach that leverages pathology-aware regional prompts to explicitly integrate anatomical and pathological information of various scales, significantly enhancing the precision and clinical relevance of generated reports. We develop an anatomical region detector that extracts features from distinct anatomical areas, coupled with a novel multi-label lesion detector that identifies global pathologies. Our approach emulates the diagnostic process of radiologists, producing clinically accurate reports with comprehensive diagnostic capabilities. Experimental results show that our model outperforms previous state-of-the-art methods on most natural language generation and clinical efficacy metrics, with formal expert evaluations affirming its potential to enhance radiology practice.

Despite significant progress in diffusion-based image generation, subject-driven generation and instruction-based editing remain challenging. Existing methods typically treat them separately, struggling with limited high-quality data and poor generalization. However, both tasks require capturing complex visual variations while maintaining consistency between inputs and outputs. Therefore, we propose MIGE, a unified framework that standardizes task representations using multimodal instructions. It treats subject-driven generation as creation on a blank canvas and instruction-based editing as modification of an existing image, establishing a shared input-output formulation. MIGE introduces a novel multimodal encoder that maps free-form multimodal instructions into a unified vision-language space, integrating visual and semantic features through a feature fusion mechanism.This unification enables joint training of both tasks, providing two key advantages: (1) Cross-Task Enhancement: By leveraging shared visual and semantic representations, joint training improves instruction adherence and visual consistency in both subject-driven generation and instruction-based editing. (2) Generalization: Learning in a unified format facilitates cross-task knowledge transfer, enabling MIGE to generalize to novel compositional tasks, including instruction-based subject-driven editing. Experiments show that MIGE excels in both subject-driven generation and instruction-based editing while setting a state-of-the-art in the new task of instruction-based subject-driven editing. Code and model have been publicly available at https://github.com/Eureka-Maggie/MIGE.

Vision-Language Instruction Tuning (VLIT) is a critical training phase for Large Vision-Language Models (LVLMs). With the improving capabilities of open-source LVLMs, researchers have increasingly turned to generate VLIT data by using open-source LVLMs and achieved significant progress. However, such data generation approaches are bottlenecked by the following challenges: 1) Since multi-modal models tend to be influenced by prior language knowledge, directly using LVLMs to generate VLIT data would inevitably lead to low content relevance between generated data and images. 2) To improve the ability of the models to generate VLIT data, previous methods have incorporated an additional training phase to boost the generative capacity. This process hurts the generalization of the models to unseen inputs (i.e., "exposure bias" problem). In this paper, we propose a new Content Correlated VLIT data generation via Contrastive Learning (C3L). Specifically, we design a new content relevance module which enhances the content relevance between VLIT data and images by computing Image Instruction Correspondence Scores S(I2C). Moreover, a contrastive learning module is introduced to further boost the VLIT data generation capability of the LVLMs. A large number of automatic measures on four benchmarks show the effectiveness of our method.

Automatic radiology report generation is a promising application of multimodal deep learning, aiming to reduce reporting workload and improve consistency. However, current state-of-the-art (SOTA) systems - such as Multimodal AI for Radiology Applications (MAIRA-2) and Medical Pathways Language Model-Multimodal (MedPaLM-M) - depend on large-scale multimodal training, clinical metadata, and multiple imaging views, making them resource-intensive and inaccessible for most settings. We introduce a compact image-to-text architecture that generates the Findings section of chest X-ray reports from a single frontal image. The model combines a frozen Self-Distillation with No Labels v3 (DINOv3) Vision Transformer (ViT) encoder with a Generative Pre-trained Transformer 2 (GPT-2) decoder enhanced by layer-wise anatomical attention. This mechanism integrates lung and heart segmentation masks through hierarchical Gaussian smoothing, biasing attention toward clinically relevant regions without adding trainable parameters. Evaluated on the official Medical Information Mart for Intensive Care-Chest X-ray (MIMIC-CXR) dataset using Chest Radiograph Expert (CheXpert) and Radiology Graph (RadGraph) metrics, our approach achieved substantial gains: CheXpert Macro-F1 for five key pathologies increased by 168% (0.083 -> 0.238) and Micro-F1 by 146% (0.137 -> 0.337), while broader performance across 14 observations improved by 86% (0.170 -> 0.316). Structural coherence also improved, with RadGraph F1 rising by 9.7%. Despite its small size and purely image-conditioned design, the model demonstrates that decoder-level anatomical guidance improves spatial grounding and enhances coherence in clinically relevant regions. The source code is publicly available at: https://github.com/devMuniz02/UDEM-CXR-Reporting-Thesis-2025.

Generalist models have achieved remarkable success in both language and vision-language tasks, showcasing the potential of unified modeling. However, effectively integrating fine-grained perception tasks like detection and segmentation into these models remains a significant challenge. This is primarily because these tasks often rely heavily on task-specific designs and architectures that can complicate the modeling process. To address this challenge, we present \ours, a framework that Unifies Fine-grained visual perception tasks through an Open-ended language interface. By transforming all perception targets into the language space, \ours unifies object-level detection, pixel-level segmentation, and image-level vision-language tasks into a single model. Additionally, we introduce a novel embedding retrieval approach that relies solely on the language interface to support segmentation tasks. Our framework bridges the gap between fine-grained perception and vision-language tasks, significantly simplifying architectural design and training strategies while achieving comparable or superior performance to methods with intricate task-specific designs. After multi-task training on five standard visual perception datasets, \ours outperforms the previous state-of-the-art generalist models by 12.3 mAP on COCO instance segmentation and 3.3 mIoU on ADE20K semantic segmentation. Furthermore, our method seamlessly integrates with existing MLLMs, effectively combining fine-grained perception capabilities with their advanced language abilities, thereby enabling more challenging tasks such as reasoning segmentation. Code and models will be publicly available.

Medical report generation has achieved remarkable advancements yet has still been faced with several challenges. First, the inherent imbalance in the distribution of normal and abnormal cases may lead models to exhibit a biased focus on normal samples, resulting in unreliable diagnoses. Second, the frequent occurrence of common template sentences in the reports may overwhelm the critical abnormal information. Moreover, existing works focus on 2D chest X-rays, leaving CT report generation underexplored due to the high-dimensional nature of CT images and the limited availability of CT-report pairs. Recently, LLM has shown a great ability to generate reliable answers with appropriate prompts, which shed light on addressing the aforementioned challenges. In this paper, we propose Dia-LLaMA, a framework to adapt the LLaMA2-7B for CT report generation by incorporating diagnostic information as guidance prompts. Considering the high dimension of CT, we leverage a pre-trained ViT3D with perceiver to extract the visual information. To tailor the LLM for report generation and emphasize abnormality, we extract additional diagnostic information by referring to a disease prototype memory bank, which is updated during training to capture common disease representations. Furthermore, we introduce disease-aware attention to enable the model to adjust attention for different diseases. Experiments on the chest CT dataset demonstrated that our proposed method outperformed previous methods and achieved state-of-the-art on both clinical efficacy performance and natural language generation metrics. The code will be made publically available.

Medical imaging is frequently used in clinical practice and trials for diagnosis and treatment. Writing imaging reports is time-consuming and can be error-prone for inexperienced radiologists. Therefore, automatically generating radiology reports is highly desired to lighten the workload of radiologists and accordingly promote clinical automation, which is an essential task to apply artificial intelligence to the medical domain. In this paper, we propose to generate radiology reports with memory-driven Transformer, where a relational memory is designed to record key information of the generation process and a memory-driven conditional layer normalization is applied to incorporating the memory into the decoder of Transformer. Experimental results on two prevailing radiology report datasets, IU X-Ray and MIMIC-CXR, show that our proposed approach outperforms previous models with respect to both language generation metrics and clinical evaluations. Particularly, this is the first work reporting the generation results on MIMIC-CXR to the best of our knowledge. Further analyses also demonstrate that our approach is able to generate long reports with necessary medical terms as well as meaningful image-text attention mappings.

The applicability of current lesion segmentation models for chest X-rays (CXRs) has been limited both by a small number of target labels and the reliance on long, detailed expert-level text inputs, creating a barrier to practical use. To address these limitations, we introduce a new paradigm: instruction-guided lesion segmentation (ILS), which is designed to segment diverse lesion types based on simple, user-friendly instructions. Under this paradigm, we construct MIMIC-ILS, the first large-scale instruction-answer dataset for CXR lesion segmentation, using our fully automated multimodal pipeline that generates annotations from chest X-ray images and their corresponding reports. MIMIC-ILS contains 1.1M instruction-answer pairs derived from 192K images and 91K unique segmentation masks, covering seven major lesion types. To empirically demonstrate its utility, we introduce ROSALIA, a vision-language model fine-tuned on MIMIC-ILS. ROSALIA can segment diverse lesions and provide textual explanations in response to user instructions. The model achieves high segmentation and textual accuracy in our newly proposed task, highlighting the effectiveness of our pipeline and the value of MIMIC-ILS as a foundational resource for pixel-level CXR lesion grounding.

While Text-to-Image (T2I) diffusion models excel at generating visually appealing images of individual instances, they struggle to accurately position and control the features generation of multiple instances. The Layout-to-Image (L2I) task was introduced to address the positioning challenges by incorporating bounding boxes as spatial control signals, but it still falls short in generating precise instance features. In response, we propose the Instance Feature Generation (IFG) task, which aims to ensure both positional accuracy and feature fidelity in generated instances. To address the IFG task, we introduce the Instance Feature Adapter (IFAdapter). The IFAdapter enhances feature depiction by incorporating additional appearance tokens and utilizing an Instance Semantic Map to align instance-level features with spatial locations. The IFAdapter guides the diffusion process as a plug-and-play module, making it adaptable to various community models. For evaluation, we contribute an IFG benchmark and develop a verification pipeline to objectively compare models' abilities to generate instances with accurate positioning and features. Experimental results demonstrate that IFAdapter outperforms other models in both quantitative and qualitative evaluations.

We present a novel task and benchmark for evaluating the ability of text-to-image(T2I) generation models to produce images that fit commonsense in real life, which we call Commonsense-T2I. Given two adversarial text prompts containing an identical set of action words with minor differences, such as "a lightbulb without electricity" v.s. "a lightbulb with electricity", we evaluate whether T2I models can conduct visual-commonsense reasoning, e.g. produce images that fit "the lightbulb is unlit" vs. "the lightbulb is lit" correspondingly. Commonsense-T2I presents an adversarial challenge, providing pairwise text prompts along with expected outputs. The dataset is carefully hand-curated by experts and annotated with fine-grained labels, such as commonsense type and likelihood of the expected outputs, to assist analyzing model behavior. We benchmark a variety of state-of-the-art (sota) T2I models and surprisingly find that, there is still a large gap between image synthesis and real life photos--even the DALL-E 3 model could only achieve 48.92% on Commonsense-T2I, and the stable diffusion XL model only achieves 24.92% accuracy. Our experiments show that GPT-enriched prompts cannot solve this challenge, and we include a detailed analysis about possible reasons for such deficiency. We aim for Commonsense-T2I to serve as a high-quality evaluation benchmark for T2I commonsense checking, fostering advancements in real life image generation.

Recent research arXiv:2410.15027 has explored the use of diffusion transformers (DiTs) for task-agnostic image generation by simply concatenating attention tokens across images. However, despite substantial computational resources, the fidelity of the generated images remains suboptimal. In this study, we reevaluate and streamline this framework by hypothesizing that text-to-image DiTs inherently possess in-context generation capabilities, requiring only minimal tuning to activate them. Through diverse task experiments, we qualitatively demonstrate that existing text-to-image DiTs can effectively perform in-context generation without any tuning. Building on this insight, we propose a remarkably simple pipeline to leverage the in-context abilities of DiTs: (1) concatenate images instead of tokens, (2) perform joint captioning of multiple images, and (3) apply task-specific LoRA tuning using small datasets (e.g., 20sim 100 samples) instead of full-parameter tuning with large datasets. We name our models In-Context LoRA (IC-LoRA). This approach requires no modifications to the original DiT models, only changes to the training data. Remarkably, our pipeline generates high-fidelity image sets that better adhere to prompts. While task-specific in terms of tuning data, our framework remains task-agnostic in architecture and pipeline, offering a powerful tool for the community and providing valuable insights for further research on product-level task-agnostic generation systems. We release our code, data, and models at https://github.com/ali-vilab/In-Context-LoRA

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.

User prompts for generative AI models are often underspecified, leading to sub-optimal responses. This problem is particularly evident in text-to-image (T2I) generation, where users commonly struggle to articulate their precise intent. This disconnect between the user's vision and the model's interpretation often forces users to painstakingly and repeatedly refine their prompts. To address this, we propose a design for proactive T2I agents equipped with an interface to (1) actively ask clarification questions when uncertain, and (2) present their understanding of user intent as an understandable belief graph that a user can edit. We build simple prototypes for such agents and verify their effectiveness through both human studies and automated evaluation. We observed that at least 90% of human subjects found these agents and their belief graphs helpful for their T2I workflow. Moreover, we develop a scalable automated evaluation approach using two agents, one with a ground truth image and the other tries to ask as few questions as possible to align with the ground truth. On DesignBench, a benchmark we created for artists and designers, the COCO dataset (Lin et al., 2014), and ImageInWords (Garg et al., 2024), we observed that these T2I agents were able to ask informative questions and elicit crucial information to achieve successful alignment with at least 2 times higher VQAScore (Lin et al., 2024) than the standard single-turn T2I generation. Demo: https://github.com/google-deepmind/proactive_t2i_agents.

The rapid advancement of text-to-image (T2I) models has increased the need for reliable human preference modeling, a demand further amplified by recent progress in reinforcement learning for preference alignment. However, existing approaches typically quantify the quality of a generated image using a single scalar, limiting their ability to provide comprehensive and interpretable feedback on image quality. To address this, we introduce ImageDoctor, a unified multi-aspect T2I model evaluation framework that assesses image quality across four complementary dimensions: plausibility, semantic alignment, aesthetics, and overall quality. ImageDoctor also provides pixel-level flaw indicators in the form of heatmaps, which highlight misaligned or implausible regions, and can be used as a dense reward for T2I model preference alignment. Inspired by the diagnostic process, we improve the detail sensitivity and reasoning capability of ImageDoctor by introducing a "look-think-predict" paradigm, where the model first localizes potential flaws, then generates reasoning, and finally concludes the evaluation with quantitative scores. Built on top of a vision-language model and trained through a combination of supervised fine-tuning and reinforcement learning, ImageDoctor demonstrates strong alignment with human preference across multiple datasets, establishing its effectiveness as an evaluation metric. Furthermore, when used as a reward model for preference tuning, ImageDoctor significantly improves generation quality -- achieving an improvement of 10% over scalar-based reward models.

Text-to-image diffusion models have shown impressive capabilities in generating realistic visuals from natural-language prompts, yet they often struggle with accurately binding attributes to corresponding objects, especially in prompts containing multiple attribute-object pairs. This challenge primarily arises from the limitations of commonly used text encoders, such as CLIP, which can fail to encode complex linguistic relationships and modifiers effectively. Existing approaches have attempted to mitigate these issues through attention map control during inference and the use of layout information or fine-tuning during training, yet they face performance drops with increased prompt complexity. In this work, we introduce a novel compositional generation method that leverages pairwise image embeddings to improve attribute-object binding. Our approach decomposes complex prompts into sub-prompts, generates corresponding images, and computes visual prototypes that fuse with text embeddings to enhance representation. By applying segmentation-based localization training, we address cross-attention misalignment, achieving improved accuracy in binding multiple attributes to objects. Our approaches outperform existing compositional text-to-image diffusion models on the benchmark T2I CompBench, achieving better image quality, evaluated by humans, and emerging robustness under scaling number of binding pairs in the prompt.