Daily Papers

VRAM requirements for transformer models scale quadratically with context length due to the self-attention mechanism. In this paper we modify the decoder-only transformer, replacing self-attention with InAttention, which scales linearly with context length during inference by having tokens attend only to initial states. Benchmarking shows that InAttention significantly reduces VRAM usage during inference, enabling handling of long sequences on consumer GPUs. We corroborate that fine-tuning extends context length efficiently, improving performance on long sequences without high training costs. InAttention offers a scalable solution for long-range dependencies in transformer models, paving the way for further optimization.

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.