Advances in diffusion-based generative models have motivated the use of synthetic image generation to alleviate data scarcity in vision tasks. While this strategy has shown promise in natural image benchmarks such as ImageNet, its effectiveness in sparse, high-variance real-world domains remains unclear. In this work, we focus on domains where images differ substantially from common image datasets and additional data are expensive to obtain. Against non-generative data augmentation baselines, we evaluate the downstream classifier performance improvements yielded by two schools of generative sparse data extension: distribution modeling and sample perturbation. Across five trauma classification tasks using subject-wise train--validation splits, no generative approach consistently outperforms a strong non-generative baseline. Feature-space analysis reveals recurring failure modes: memorization or collapse, distributional drift, and generation of visually plausible but simplified canonical instances that are easier to classify than real data.
Edward Zhang, Marcel Hussing, Tanay Tandon et al.· 0 citations
Multimodal large language models (MLLM) for surgical scene understanding typically inject hundreds of dense visual tokens into a language model, leading to costly inference and limited spatial traceability for generated answers. We present Slot2Text, a dual-mode surgical MLLM that replaces dense representations of visual input with a compact set of regions encoded as slot latents. Instead of relying on contrastive alignment of the visual encoder with language, Slot2Text groups self-supervised vision features into a few regions--slots that are consumed by the language model as area-labeled visual tokens. Slot2Text-Fast uses the slot prefix to answer surgical questions. Slot2Text-Reason also identifies and locates areas relevant for reasoning, linking language outputs to corresponding slot tokens, masks or regions. Experiments on multiple visual question answering and visual grounding benchmarks show that Slot2Text-Fast is competitive with state-of-the-art baseline at a much lower cost, reducing the average total token consumption by a 91.8\% and the visual prefix from 1,295 to 47 tokens (a 96.4\% reduction). Slot2Text-Reason trades additional tokens and latency for explicit area identities, locations, and traceable spatial evidence. These results establish compact slot latents as an efficient default visual interface for surgical MLLMs, with grounded reasoning invoked when greater spatial traceability is required.
Guiqiu Liao, M. Jogan, Daniel A. Hashimoto· 0 citations