The large volume of abdominal computed tomography (CT) scans coupled with the shortage of radiologists have intensified the need for automated medical image analysis tools. Previous state-of-the-art approaches for automated analysis leverage vision-language models (VLMs) that jointly model images and radiology reports.
Since AlexNet5, deep learning has replaced heuristic hand-crafted features by unifying feature learning with deep neural networks. Later, Transformers6 and GPT-3 (ref. 1) further advanced sequence learning at scale, unifying structured tasks such as natural language processing. However, multimodal learning, spanning modalities such as images, video and text, has remained fragmented, relying on separate diffusion-based generation or compositional vision-language pipelines with many hand-crafted designs.
A major difference between LLMs and LTMs is the type of data they're able to synthesize and use. LLMs use unstructured data-think text, social media posts, emails, etc. LTMs, on the other hand, can extract information or insights from structured data, which could be contained in tables, for instance. Since many enterprises rely on structured data, often contained in spreadsheets, to run their operations, LTMs could have an immediate use case for many organizations.
By comparing how AI models and humans map these words to numerical percentages, we uncovered significant gaps between humans and large language models. While the models do tend to agree with humans on extremes like 'impossible,' they diverge sharply on hedge words like 'maybe.' For example, a model might use the word 'likely' to represent an 80% probability, while a human reader assumes it means closer to 65%.
What happens under the hood? How is the search engine able to take that simple query, look for images in the billions, trillions of images that are available online? How is it able to find this one or similar photos from all that? Usually, there is an embedding model that is doing this work behind the hood.
Each of these achievements would have been a remarkable breakthrough on its own. Solving them all with a single technique is like discovering a master key that unlocks every door at once. Why now? Three pieces converged: algorithms, computing power, and massive amounts of data. We can even put faces to them, because behind each element is a person who took a gamble.