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Models based on human-understandable concepts have received extensive attention to improve model interpretability for trustworthy artificial intelligence in the field of medical image analysis. These methods can provide convincing explanations for model decisions but heavily rely on the detailed annotation of pre-defined concepts. Consequently, they may not be effective in cases where concepts or annotations are incomplete or low-quality. Although some methods automatically discover effective and new visual concepts rather than using pre-defined concepts or could find some human-understandable concepts via large Language models, they are prone to veering away from medical diagnostic evidence and are challenging to understand. In this paper, we propose a concept complement bottleneck model for interpretable medical image diagnosis with the aim of complementing the existing concept set and finding new concepts bridging the gap between explainable models. Specifically, we propose to use concept adapters for specific concepts to mine the concept differences and score concepts in their own attention channels to support almost fairly concept learning. Then, we devise a concept complement strategy to learn new concepts while jointly using known concepts to improve model performance. Comprehensive experiments on medical datasets demonstrate that our model outperforms the state-of-the-art competitors in concept detection and disease diagnosis tasks while providing diverse explanations to ensure model interpretability effectively., Comment: 10 pages, 5 figures, submitted to IEEE TRANSACTIONS ON MEDICAL IMAGING

The increasing demand for transparent and reliable models, particularly in high-stakes decision-making areas such as medical image analysis, has led to the emergence of eXplainable Artificial Intelligence (XAI). Post-hoc XAI techniques, which aim to explain black-box models after training, have been controversial in recent works concerning their fidelity to the models' predictions. In contrast, Self-eXplainable AI (S-XAI) offers a compelling alternative by incorporating explainability directly into the training process of deep learning models. This approach allows models to generate inherent explanations that are closely aligned with their internal decision-making processes. Such enhanced transparency significantly supports the trustworthiness, robustness, and accountability of AI systems in real-world medical applications. To facilitate the development of S-XAI methods for medical image analysis, this survey presents an comprehensive review across various image modalities and clinical applications. It covers more than 200 papers from three key perspectives: 1) input explainability through the integration of explainable feature engineering and knowledge graph, 2) model explainability via attention-based learning, concept-based learning, and prototype-based learning, and 3) output explainability by providing counterfactual explanation and textual explanation. Additionally, this paper outlines the desired characteristics of explainability and existing evaluation methods for assessing explanation quality. Finally, it discusses the major challenges and future research directions in developing S-XAI for medical image analysis.

This paper explores higher-resolution video outpainting with extensive content generation. We point out common issues faced by existing methods when attempting to largely outpaint videos: the generation of low-quality content and limitations imposed by GPU memory. To address these challenges, we propose a diffusion-based method called \textit{Follow-Your-Canvas}. It builds upon two core designs. First, instead of employing the common practice of "single-shot" outpainting, we distribute the task across spatial windows and seamlessly merge them. It allows us to outpaint videos of any size and resolution without being constrained by GPU memory. Second, the source video and its relative positional relation are injected into the generation process of each window. It makes the generated spatial layout within each window harmonize with the source video. Coupling with these two designs enables us to generate higher-resolution outpainting videos with rich content while keeping spatial and temporal consistency. Follow-Your-Canvas excels in large-scale video outpainting, e.g., from 512X512 to 1152X2048 (9X), while producing high-quality and aesthetically pleasing results. It achieves the best quantitative results across various resolution and scale setups. The code is released on https://github.com/mayuelala/FollowYourCanvas, Comment: Github: https://github.com/mayuelala/FollowYourCanvas Page: https://follow-your-canvas.github.io/

Generalist foundation models (GFMs) are renowned for their exceptional capability and flexibility in effectively generalizing across diverse tasks and modalities. In the field of medicine, while GFMs exhibit superior generalizability based on their extensive intrinsic knowledge as well as proficiency in instruction following and in-context learning, specialist models excel in precision due to their domain knowledge. In this work, for the first time, we explore the synergy between the GFM and specialist models, to enable precise medical image analysis on a broader scope. Specifically, we propose a cooperative framework, Generalist-Specialist Collaboration (GSCo), which consists of two stages, namely the construction of GFM and specialists, and collaborative inference on downstream tasks. In the construction stage, we develop MedDr, the largest open-source GFM tailored for medicine, showcasing exceptional instruction-following and in-context learning capabilities. Meanwhile, a series of lightweight specialists are crafted for downstream tasks with low computational cost. In the collaborative inference stage, we introduce two cooperative mechanisms, Mixture-of-Expert Diagnosis and Retrieval-Augmented Diagnosis, to harvest the generalist's in-context learning abilities alongside the specialists' domain expertise. For a comprehensive evaluation, we curate a large-scale benchmark featuring 28 datasets and about 250,000 images. Extensive results demonstrate that MedDr consistently outperforms state-of-the-art GFMs on downstream datasets. Furthermore, GSCo exceeds both GFMs and specialists across all out-of-domain disease diagnosis datasets. These findings indicate a significant paradigm shift in the application of GFMs, transitioning from separate models for specific tasks to a collaborative approach between GFMs and specialists, thereby advancing the frontiers of generalizable AI in medicine.

Chatbots shifted from rule-based to artificial intelligence techniques and gained traction in medicine, shopping, customer services, food delivery, education, and research. OpenAI developed ChatGPT blizzard on the Internet as it crossed one million users within five days of its launch. However, with the enhanced popularity, chatbots experienced cybersecurity threats and vulnerabilities. This paper discussed the relevant literature, reports, and explanatory incident attacks generated against chatbots. Our initial point is to explore the timeline of chatbots from ELIZA (an early natural language processing computer program) to GPT-4 and provide the working mechanism of ChatGPT. Subsequently, we explored the cybersecurity attacks and vulnerabilities in chatbots. Besides, we investigated the ChatGPT, specifically in the context of creating the malware code, phishing emails, undetectable zero-day attacks, and generation of macros and LOLBINs. Furthermore, the history of cyberattacks and vulnerabilities exploited by cybercriminals are discussed, particularly considering the risk and vulnerabilities in ChatGPT. Addressing these threats and vulnerabilities requires specific strategies and measures to reduce the harmful consequences. Therefore, the future directions to address the challenges were presented.