Xiaofeng Yang

Yuheng Li, Mingzhe Hu, Xiaofeng Yang

Colon polyps are considered important precursors for colorectal cancer. Automatic segmentation of colon polyps can significantly reduce the misdiagnosis of colon cancer and improve physician annotation efficiency. While many methods have been proposed for polyp segmentation, training large-scale segmentation networks with limited colonoscopy data remains a challenge. Recently, the Segment Anything Model (SAM) has recently gained much attention in both natural and medical image segmentation. SAM demonstrates superior performance in several image benchmarks and therefore shows great potential for medical image segmentation. In this study, we propose Poly-SAM, a finetuned SAM model for polyp segmentation, and compare its performance to several state-of-the-art polyp segmentation models. We also compare two transfer learning strategies of SAM with and without finetuning its encoders. Evaluated on five public datasets, our Polyp-SAM achieves state-of-the-art performance on two datasets and impressive performance on three datasets, with dice scores all above 88%. This study demonstrates the great potential of adapting SAM to medical image segmentation tasks. We plan to release the code and model weights for this paper at: https://github.com/ricklisz/Polyp-SAM.

Yiwen Chen, Chi Zhang, Xiaofeng Yang et al. · tencent-ai

Recent strides in Text-to-3D techniques have been propelled by distilling knowledge from powerful large text-to-image diffusion models (LDMs). Nonetheless, existing Text-to-3D approaches often grapple with challenges such as over-saturation, inadequate detailing, and unrealistic outputs. This study presents a novel strategy that leverages explicitly synthesized multi-view images to address these issues. Our approach involves the utilization of image-to-image pipelines, empowered by LDMs, to generate posed high-quality images based on the renderings of coarse 3D models. Although the generated images mostly alleviate the aforementioned issues, challenges such as view inconsistency and significant content variance persist due to the inherent generative nature of large diffusion models, posing extensive difficulties in leveraging these images effectively. To overcome this hurdle, we advocate integrating a discriminator alongside a novel Diffusion-GAN dual training strategy to guide the training of 3D models. For the incorporated discriminator, the synthesized multi-view images are considered real data, while the renderings of the optimized 3D models function as fake data. We conduct a comprehensive set of experiments that demonstrate the effectiveness of our method over baseline approaches.

Yang Li, Huaijun Jiang, Yu Shen et al. · eth-zurich

The distributed data analytic system -- Spark is a common choice for processing massive volumes of heterogeneous data, while it is challenging to tune its parameters to achieve high performance. Recent studies try to employ auto-tuning techniques to solve this problem but suffer from three issues: limited functionality, high overhead, and inefficient search. In this paper, we present a general and efficient Spark tuning framework that can deal with the three issues simultaneously. First, we introduce a generalized tuning formulation, which can support multiple tuning goals and constraints conveniently, and a Bayesian optimization (BO) based solution to solve this generalized optimization problem. Second, to avoid high overhead from additional offline evaluations in existing methods, we propose to tune parameters along with the actual periodic executions of each job (i.e., online evaluations). To ensure safety during online job executions, we design a safe configuration acquisition method that models the safe region. Finally, three innovative techniques are leveraged to further accelerate the search process: adaptive sub-space generation, approximate gradient descent, and meta-learning method. We have implemented this framework as an independent cloud service, and applied it to the data platform in Tencent. The empirical results on both public benchmarks and large-scale production tasks demonstrate its superiority in terms of practicality, generality, and efficiency. Notably, this service saves an average of 57.00% memory cost and 34.93% CPU cost on 25K in-production tasks within 20 iterations, respectively.

Xiaofeng Yang, Jia Zhao, Qi Wang et al.

How to develop efficient numerical schemes while preserving the energy stability at the discrete level is a challenging issue for the three component Cahn-Hilliard phase-field model. In this paper, we develop first and second order temporal approximation schemes based on the "Invariant Energy Quadratization" approach, where all nonlinear terms are treated semi-explicitly. Consequently, the resulting numerical schemes lead to a well-posed linear system with the symmetric positive definite operator to be solved at each time step. We rigorously prove that the proposed schemes are unconditionally energy stable. Various 2D and 3D numerical simulations are presented to demonstrate the stability and the accuracy of the schemes.

Qing Cheng, Xiaofeng Yang, Jie Shen

In this paper, we consider numerical approximations of a hydrodynamically coupled phase field diblock copolymer model, in which the free energy contains a kinetic potential, a gradient entropy, a Ginzburg-Landau double well potential, and a long range nonlocal type potential. We develop a set of second order time marching schemes for this system using the "Invariant Energy Quadratization" approach for the double well potential, the projection method for the Navier-Stokes equation, and a subtle implicit-explicit treatment for the stress and convective term. The resulting schemes are linear and lead to symmetric positive definite systems at each time step, thus they can be efficiently solved. We further prove that these schemes are unconditionally energy stable. Various numerical experiments are performed to validate the accuracy and energy stability of the proposed schemes.

Xiaofeng Yang, Lili Ju

In this paper, we consider the numerical solution of a binary fluid-surfactant phase field model, in which the free energy contains a nonlinear coupling entropy, a Ginzburg-Landau double well potential, and a logarithmic Flory-Huggins potential. The resulting system consists of two coupled, nonlinear Cahn-Hilliard type equations. We develop a set of first and second order time marching schemes for this system using the "Invariant Energy Quadratization" approach, in particular, the system is transformed into an equivalent one by introducing appropriate auxiliary variables and all nonlinear terms are then treated semi-explicitly. Both schemes are linear and lead to symmetric positive definite systems at each time step, thus they can be efficiently solved. We further prove that these schemes are unconditionally energy stable in the discrete sense. Various 2D and 3D numerical experiments are performed to validate the accuracy and energy stability of the proposed schemes.

Xiaofeng Yang, Jia Zhao

In this paper, we consider numerical approximations for the viscous Cahn-Hilliard equation with hyperbolic relaxation. This type of equations processes energy-dissipative structure. The main challenge in solving such a diffusive system numerically is how to develop high order temporal discretization for the hyperbolic and nonlinear terms, allowing large time-marching step, while preserving the energy stability, i.e. the energy dissipative structure at the time-discrete level. We resolve this issue by developing two second-order time-marching schemes using the recently developed "Invariant Energy Quadratization" approach where all nonlinear terms are discretized semi-explicitly. In each time step, one only needs to solve a symmetric positive definite (SPD) linear system. All the proposed schemes are rigorously proven to be unconditionally energy stable, and the second-order convergence in time has been verified by time step refinement tests numerically. Various 2D and 3D numerical simulations are presented to demonstrate the stability, accuracy and efficiency of the proposed schemes.

Xiaofeng Yang

In this paper, we consider the numerical approximations for the commonly used binary fluid-surfactant phase field model that consists two nonlinearly coupled Cahn-Hilliard equations. The main challenge in solving the system numerically is how to develop easy-to-implement time stepping schemes while preserving the unconditional energy stability. We solve this issue by developing two linear and decoupled, first order and a second order time-stepping schemes using the so-called "Invariant Energy Quadratization" approach for the double well potentials and a subtle explicit-implicit technique for the nonlinear coupling potential. Moreover, the resulting linear system is well-posed and the linear operator is symmetric positive definite. We rigorously prove the first order scheme is unconditionally energy stable. Various numerical simulations are presented to demonstrate the stability and the accuracy thereafter.

Haijun Yu, Xiaofeng Yang

We consider the numerical approximations of a two-phase hydrodynamics coupled phase-field model that incorporates the variable densities, viscosities and moving contact line boundary conditions. The model is a nonlinear, coupled system that consists of incompressible Navier--Stokes equations with the generalized Navier boundary condition, and the Cahn--Hilliard equations with moving contact line boundary conditions. By some subtle explicit--implicit treatments to nonlinear terms, we develop two efficient, unconditionally energy stable numerical schemes, in particular, a linear decoupled energy stable scheme for the system with static contact line condition, and a nonlinear energy stable scheme for the system with dynamic contact line condition. An efficient spectral-Galerkin spatial discretization is implemented to verify the accuracy and efficiency of proposed schemes. Various numerical results show that the proposed schemes are efficient and accurate.

Yuheng Li, Tianyu Luan, Yizhou Wu et al.

Due to the scarcity of labeled data, self-supervised learning (SSL) has gained much attention in 3D medical image segmentation, by extracting semantic representations from unlabeled data. Among SSL strategies, Masked image modeling (MIM) has shown effectiveness by reconstructing randomly masked images to learn detailed representations. However, conventional MIM methods require extensive training data to achieve good performance, which still poses a challenge for medical imaging. Since random masking uniformly samples all regions within medical images, it may overlook crucial anatomical regions and thus degrade the pretraining efficiency. We propose AnatoMask, a novel MIM method that leverages reconstruction loss to dynamically identify and mask out anatomically significant regions to improve pretraining efficacy. AnatoMask takes a self-distillation approach, where the model learns both how to find more significant regions to mask and how to reconstruct these masked regions. To avoid suboptimal learning, Anatomask adjusts the pretraining difficulty progressively using a masking dynamics function. We have evaluated our method on 4 public datasets with multiple imaging modalities (CT, MRI, and PET). AnatoMask demonstrates superior performance and scalability compared to existing SSL methods. The code is available at https://github.com/ricklisz/AnatoMask.

Xiaofeng Yang

We consider numerical approximations for a phase field dendritic crystal growth model, which is a highly nonlinear system that couples the anisotropic Allen-Cahn type equation and the heat equation together. We propose two efficient, linear, second-order time marching schemes. The first one is based on the linear stabilization approach where all nonlinear terms are treated explicitly and one only needs to solve two linear and decoupled second-order equations. Two linear stabilizers are added to enhance the energy stability, therefore the scheme is quite efficient and stable that allows for large time steps in computations. The second one combines the recently developed Invariant Energy Quadratization approach with the linear stabilization approach. Two linear stabilization terms, which are shown to be crucial to remove the oscillations caused by the anisotropic coefficients numerically, are added as well. We further show the obtained linear system is well-posed and prove its unconditional energy stability rigorously. For both schemes, various 2D and 3D numerical simulations are implemented to demonstrate the stability and accuracy.

Yiwen Chen, Zilong Chen, Chi Zhang et al.

3D editing plays a crucial role in many areas such as gaming and virtual reality. Traditional 3D editing methods, which rely on representations like meshes and point clouds, often fall short in realistically depicting complex scenes. On the other hand, methods based on implicit 3D representations, like Neural Radiance Field (NeRF), render complex scenes effectively but suffer from slow processing speeds and limited control over specific scene areas. In response to these challenges, our paper presents GaussianEditor, an innovative and efficient 3D editing algorithm based on Gaussian Splatting (GS), a novel 3D representation. GaussianEditor enhances precision and control in editing through our proposed Gaussian semantic tracing, which traces the editing target throughout the training process. Additionally, we propose Hierarchical Gaussian splatting (HGS) to achieve stabilized and fine results under stochastic generative guidance from 2D diffusion models. We also develop editing strategies for efficient object removal and integration, a challenging task for existing methods. Our comprehensive experiments demonstrate GaussianEditor's superior control, efficacy, and rapid performance, marking a significant advancement in 3D editing. Project Page: https://buaacyw.github.io/gaussian-editor/

Xiaofeng Yang, Jia Zhao

In this paper, we consider the numerical approximations for the fourth order Cahn-Hilliard equation with concentration dependent mobility, and the logarithmic Flory-Huggins potential. One challenge in solving such a diffusive system numerically is how to develop proper temporal discretization for nonlinear terms in order to preserve the energy stability at the time-discrete level. We resolve this issue by developing a set of the first and second order time marching schemes based on a novel, called "Invariant Energy Quadratization" approach. Its novelty is that the proposed scheme is linear and symmetric positive definite because all nonlinear terms are treated semi-explicitly. We further prove all proposed schemes are unconditionally energy stable rigorously. Various 2D and 3D numerical simulations are presented to demonstrate the stability, accuracy and efficiency of the proposed schemes thereafter.

Mingzhe Hu, Jiahan Zhang, Luke Matkovic et al.

Motivation: Medical image analysis involves tasks to assist physicians in qualitative and quantitative analysis of lesions or anatomical structures, significantly improving the accuracy and reliability of diagnosis and prognosis. Traditionally, these tasks are finished by physicians or medical physicists and lead to two major problems: (i) low efficiency; (ii) biased by personal experience. In the past decade, many machine learning methods have been applied to accelerate and automate the image analysis process. Compared to the enormous deployments of supervised and unsupervised learning models, attempts to use reinforcement learning in medical image analysis are scarce. This review article could serve as the stepping-stone for related research. Significance: From our observation, though reinforcement learning has gradually gained momentum in recent years, many researchers in the medical analysis field find it hard to understand and deploy in clinics. One cause is lacking well-organized review articles targeting readers lacking professional computer science backgrounds. Rather than providing a comprehensive list of all reinforcement learning models in medical image analysis, this paper may help the readers to learn how to formulate and solve their medical image analysis research as reinforcement learning problems. Approach & Results: We selected published articles from Google Scholar and PubMed. Considering the scarcity of related articles, we also included some outstanding newest preprints. The papers are carefully reviewed and categorized according to the type of image analysis task. We first review the basic concepts and popular models of reinforcement learning. Then we explore the applications of reinforcement learning models in landmark detection. Finally, we conclude the article by discussing the reviewed reinforcement learning approaches' limitations and possible improvements.

Mingzhe Hu, Yuheng Li, Xiaofeng Yang

Skin cancer is a prevalent and potentially fatal disease that requires accurate and efficient diagnosis and treatment. Although manual tracing is the current standard in clinics, automated tools are desired to reduce human labor and improve accuracy. However, developing such tools is challenging due to the highly variable appearance of skin cancers and complex objects in the background. In this paper, we present SkinSAM, a fine-tuned model based on the Segment Anything Model that showed outstanding segmentation performance. The models are validated on HAM10000 dataset which includes 10015 dermatoscopic images. While larger models (ViT_L, ViT_H) performed better than the smaller one (ViT_b), the finetuned model (ViT_b_finetuned) exhibited the greatest improvement, with a Mean pixel accuracy of 0.945, Mean dice score of 0.8879, and Mean IoU score of 0.7843. Among the lesion types, vascular lesions showed the best segmentation results. Our research demonstrates the great potential of adapting SAM to medical image segmentation tasks.

Xiaofeng Yang, Guodong Zhang

In this paper, we carry out stability and error analyses for two first-order, semi-discrete time stepping schemes, which are based on the newly developed Invariant Energy Quadratization approach, for solving the well-known Cahn-Hilliard and Allen-Cahn equations with general nonlinear bulk potentials. Some reasonable sufficient conditions about boundedness and continuity of the nonlinear functional are given in order to obtain optimal error estimates. These conditions are naturally satisfied by two commonly used nonlinear potentials including the double-well potential and regularized logarithmic Flory-Huggins potential. The well-posedness, unconditional energy stabilities and optimal error estimates of the numerical schemes are proved rigorously.

Rui Chen, Xiaofeng Yang, Hui Zhang

In this paper, we consider the numerical approximations for a hydrodynamical model of smectic-A liquid crystals. The model, derived from the variational approach of the modified Oseen-Frank energy, is a highly nonlinear system that couples the incompressible Navier-Stokes equations and a constitutive equation for the layer variable. We develop two linear, second-order time-marching schemes based on the "Invariant Energy Quadratization" method for nonlinear terms in the constitutive equation, the projection method for the Navier-Stokes equations, and some subtle implicit-explicit treatments for the convective and stress terms. Moreover, we prove the well-posedness of the linear system and their unconditionally energy stabilities rigorously. Various numerical experiments are presented to demonstrate the stability and the accuracy of the numerical schemes in simulating the dynamics under shear flow and the magnetic field.

Shaoyan Pan, Chih-Wei Chang, Junbo Peng et al.

This study aims to develop a novel Cycle-guided Denoising Diffusion Probability Model (CG-DDPM) for cross-modality MRI synthesis. The CG-DDPM deploys two DDPMs that condition each other to generate synthetic images from two different MRI pulse sequences. The two DDPMs exchange random latent noise in the reverse processes, which helps to regularize both DDPMs and generate matching images in two modalities. This improves image-to-image translation ac-curacy. We evaluated the CG-DDPM quantitatively using mean absolute error (MAE), multi-scale structural similarity index measure (MSSIM), and peak sig-nal-to-noise ratio (PSNR), as well as the network synthesis consistency, on the BraTS2020 dataset. Our proposed method showed high accuracy and reliable consistency for MRI synthesis. In addition, we compared the CG-DDPM with several other state-of-the-art networks and demonstrated statistically significant improvements in the image quality of synthetic MRIs. The proposed method enhances the capability of current multimodal MRI synthesis approaches, which could contribute to more accurate diagnosis and better treatment planning for patients by synthesizing additional MRI modalities.

Shaoyan Pan, Elham Abouei, Junbo Peng et al.

Objective: Positron Emission Tomography (PET) has been a commonly used imaging modality in broad clinical applications. One of the most important tradeoffs in PET imaging is between image quality and radiation dose: high image quality comes with high radiation exposure. Improving image quality is desirable for all clinical applications while minimizing radiation exposure is needed to reduce risk to patients. Approach: We introduce PET Consistency Model (PET-CM), an efficient diffusion-based method for generating high-quality full-dose PET images from low-dose PET images. It employs a two-step process, adding Gaussian noise to full-dose PET images in the forward diffusion, and then denoising them using a PET Shifted-window Vision Transformer (PET-VIT) network in the reverse diffusion. The PET-VIT network learns a consistency function that enables direct denoising of Gaussian noise into clean full-dose PET images. PET-CM achieves state-of-the-art image quality while requiring significantly less computation time than other methods. Results: In experiments comparing eighth-dose to full-dose images, PET-CM demonstrated impressive performance with NMAE of 1.278+/-0.122%, PSNR of 33.783+/-0.824dB, SSIM of 0.964+/-0.009, NCC of 0.968+/-0.011, HRS of 4.543, and SUV Error of 0.255+/-0.318%, with an average generation time of 62 seconds per patient. This is a significant improvement compared to the state-of-the-art diffusion-based model with PET-CM reaching this result 12x faster. Similarly, in the quarter-dose to full-dose image experiments, PET-CM delivered competitive outcomes, achieving an NMAE of 0.973+/-0.066%, PSNR of 36.172+/-0.801dB, SSIM of 0.984+/-0.004, NCC of 0.990+/-0.005, HRS of 4.428, and SUV Error of 0.151+/-0.192% using the same generation process, which underlining its high quantitative and clinical precision in both denoising scenario.

Yuheng Li, Yuan Gao, Haoyu Dong et al.

Computed tomography (CT) is a central to three-dimensional medical imaging, yet CT-based artificial intelligence remains fragmented across task-specific models for segmentation, classification, registration, and report analysis. Here we present FlexiCT, a family of CT foundation models trained by agglomerative continual pretraining on 266,227 CT volumes from 56 publicly available datasets, forming a large-scale public resource for CT representation learning. FlexiCT uses agglomerative pretraining across three stages: two-dimensional axial pretraining, three-dimensional anatomical pretraining and report-guided semantic alignment. This training strategy supports slice-level, volume-level and vision-language analysis. Across five downstream task families (segmentation, classification, registration, vision-language understanding and clinical retrieval), FlexiCT matches or exceeds prior task-specific approaches on multiple benchmarks. Its embeddings further organize CT scans along gradients associated with various tumor stages, suggesting that CT foundation models can capture imaging features relevant to disease phenotype characterization. Code is available at https://github.com/ricklisz/FlexiCT

Rui Chen, Xiaofeng Yang, Hui Zhang

In this paper, we present an efficient energy stable scheme to solve a phase field model incorporating contact line condition. Instead of the usually used Cahn-Hilliard type phase equation, we adopt the Allen-Cahn type phase field model with the static contact line boundary condition that coupled with incompressible Navier-Stokes equations with Navier boundary condition. The projection method is used to deal with the Navier-Stokes equa- tions and an auxiliary function is introduced for the non-convex Ginzburg-Landau bulk potential. We show that the scheme is linear, decoupled and energy stable. Moreover, we prove that fully discrete scheme is also energy stable. An efficient finite element spatial discretization method is implemented to verify the accuracy and efficiency of proposed schemes. Numerical results show that the proposed scheme is very efficient and accurate

Xiaofeng Yang, Fayao Liu, Guosheng Lin

Current vision language pretraining models are dominated by methods using region visual features extracted from object detectors. Given their good performance, the extract-then-process pipeline significantly restricts the inference speed and therefore limits their real-world use cases. However, training vision language models from raw image pixels is difficult, as the raw image pixels give much less prior knowledge than region features. In this paper, we systematically study how to leverage auxiliary visual pretraining tasks to help training end-to-end vision language models. We introduce three types of visual losses that enable much faster convergence and better finetuning accuracy. Compared with region feature models, our end-to-end models could achieve similar or better performance on downstream tasks and run more than 10 times faster during inference. Compared with other end-to-end models, our proposed method could achieve similar or better performance when pretrained for only 10% of the pretraining GPU hours.

Huiqiao Xie, Yang Lei, Yabo Fu et al.

CBCTs in image-guided radiotherapy provide crucial anatomy information for patient setup and plan evaluation. Longitudinal CBCT image registration could quantify the inter-fractional anatomic changes. The purpose of this study is to propose an unsupervised deep learning based CBCT-CBCT deformable image registration. The proposed deformable registration workflow consists of training and inference stages that share the same feed-forward path through a spatial transformation-based network (STN). The STN consists of a global generative adversarial network (GlobalGAN) and a local GAN (LocalGAN) to predict the coarse- and fine-scale motions, respectively. The network was trained by minimizing the image similarity loss and the deformable vector field (DVF) regularization loss without the supervision of ground truth DVFs. During the inference stage, patches of local DVF were predicted by the trained LocalGAN and fused to form a whole-image DVF. The local whole-image DVF was subsequently combined with the GlobalGAN generated DVF to obtain final DVF. The proposed method was evaluated using 100 fractional CBCTs from 20 abdominal cancer patients in the experiments and 105 fractional CBCTs from a cohort of 21 different abdominal cancer patients in a holdout test. Qualitatively, the registration results show great alignment between the deformed CBCT images and the target CBCT image. Quantitatively, the average target registration error (TRE) calculated on the fiducial markers and manually identified landmarks was 1.91+-1.11 mm. The average mean absolute error (MAE), normalized cross correlation (NCC) between the deformed CBCT and target CBCT were 33.42+-7.48 HU, 0.94+-0.04, respectively. This promising registration method could provide fast and accurate longitudinal CBCT alignment to facilitate inter-fractional anatomic changes analysis and prediction.

Yupei Zhang, Xianjin Dai, Zhen Tian et al.

This study proposed a deep learning-based tracking method for ultrasound (US) image-guided radiation therapy. The proposed cascade deep learning model is composed of an attention network, a mask region-based convolutional neural network (mask R-CNN), and a long short-term memory (LSTM) network. The attention network learns a mapping from a US image to a suspected area of landmark motion in order to reduce the search region. The mask R-CNN then produces multiple region-of-interest (ROI) proposals in the reduced region and identifies the proposed landmark via three network heads: bounding box regression, proposal classification, and landmark segmentation. The LSTM network models the temporal relationship among the successive image frames for bounding box regression and proposal classification. To consolidate the final proposal, a selection method is designed according to the similarities between sequential frames. The proposed method was tested on the liver US tracking datasets used in the Medical Image Computing and Computer Assisted Interventions (MICCAI) 2015 challenges, where the landmarks were annotated by three experienced observers to obtain their mean positions. Five-fold cross-validation on the 24 given US sequences with ground truths shows that the mean tracking error for all landmarks is 0.65+/-0.56 mm, and the errors of all landmarks are within 2 mm. We further tested the proposed model on 69 landmarks from the testing dataset that has a similar image pattern to the training pattern, resulting in a mean tracking error of 0.94+/-0.83 mm. Our experimental results have demonstrated the feasibility and accuracy of our proposed method in tracking liver anatomic landmarks using US images, providing a potential solution for real-time liver tracking for active motion management during radiation therapy.

Yuheng Li, Jacob Wynne, Jing Wang et al.

Biparametric magnetic resonance imaging (bpMRI) has demonstrated promising results in prostate cancer (PCa) detection using convolutional neural networks (CNNs). Recently, transformers have achieved competitive performance compared to CNNs in computer vision. Large scale transformers need abundant annotated data for training, which are difficult to obtain in medical imaging. Self-supervised learning (SSL) utilizes unlabeled data to generate meaningful semantic representations without the need for costly annotations, enhancing model performance on tasks with limited labeled data. We introduce a novel end-to-end Cross-Shaped windows (CSwin) transformer UNet model, CSwin UNet, to detect clinically significant prostate cancer (csPCa) in prostate bi-parametric MR imaging (bpMRI) and demonstrate the effectiveness of our proposed self-supervised pre-training framework. Using a large prostate bpMRI dataset with 1500 patients, we first pretrain CSwin transformer using multi-task self-supervised learning to improve data-efficiency and network generalizability. We then finetune using lesion annotations to perform csPCa detection. Five-fold cross validation shows that self-supervised CSwin UNet achieves 0.888 AUC and 0.545 Average Precision (AP), significantly outperforming four comparable models (Swin UNETR, DynUNet, Attention UNet, UNet). Using a separate bpMRI dataset with 158 patients, we evaluate our method robustness to external hold-out data. Self-supervised CSwin UNet achieves 0.79 AUC and 0.45 AP, still outperforming all other comparable methods and demonstrating good generalization to external data.

Xiaofeng Yang

In this paper, we consider numerical approximations for the anisotropic Cahn-Hilliard equation. The main challenge of constructing numerical schemes with unconditional energy stabilities for this model is how to design proper temporal discretizations for the nonlinear terms with the strong anisotropy. We propose two, second order time marching schemes by combining the recently developed SAV approach with the linear stabilization approach, where three linear stabilization terms are added. These terms are shown to be crucial to remove the oscillations caused by the anisotropic coefficients, numerically. The novelty of the proposed schemes is that all nonlinear terms can be treated semi-explicitly, and one only needs to solve three decoupled linear equations with constant coefficients at each time step. We further prove the unconditional energy stabilities rigorously, and present various 2D and 3D numerical simulations to demonstrate the stability and accuracy.

Xiaofeng Yang, Alex Brylev

In this paper, we consider numerical approximations for the model of smectic-A liquid crystal flows. The model equation, that is derived from the variational approach of the de Gennes free energy, is a highly nonlinear system that couples the incompressible Navier-Stokes equations, and two nonlinear coupled second-order elliptic equations. Based on some subtle explicit--implicit treatments for nonlinear terms, we develop a unconditionally energy stable, linear and decoupled time marching numerical scheme. We also rigorously prove that the proposed scheme obeys the energy dissipation law at the discrete level. Various numerical simulations are presented to demonstrate the accuracy and the stability thereafter.

Zach Eidex, Mojtaba Safari, Jacob Wynne et al.

Purpose: Apparent diffusion coefficient (ADC) maps derived from diffusion weighted (DWI) MRI provides functional measurements about the water molecules in tissues. However, DWI is time consuming and very susceptible to image artifacts, leading to inaccurate ADC measurements. This study aims to develop a deep learning framework to synthesize ADC maps from multi-parametric MR images. Methods: We proposed the multiparametric residual vision transformer model (MPR-ViT) that leverages the long-range context of ViT layers along with the precision of convolutional operators. Residual blocks throughout the network significantly increasing the representational power of the model. The MPR-ViT model was applied to T1w and T2- fluid attenuated inversion recovery images of 501 glioma cases from a publicly available dataset including preprocessed ADC maps. Selected patients were divided into training (N=400), validation (N=50) and test (N=51) sets, respectively. Using the preprocessed ADC maps as ground truth, model performance was evaluated and compared against the Vision Convolutional Transformer (VCT) and residual vision transformer (ResViT) models. Results: The results are as follows using T1w + T2-FLAIR MRI as inputs: MPR-ViT - PSNR: 31.0 +/- 2.1, MSE: 0.009 +/- 0.0005, SSIM: 0.950 +/- 0.015. In addition, ablation studies showed the relative impact on performance of each input sequence. Both qualitative and quantitative results indicate that the proposed MR- ViT model performs favorably against the ground truth data. Conclusion: We show that high-quality ADC maps can be synthesized from structural MRI using a MPR- VCT model. Our predicted images show better conformality to the ground truth volume than ResViT and VCT predictions. These high-quality synthetic ADC maps would be particularly useful for disease diagnosis and intervention, especially when ADC maps have artifacts or are unavailable.

Mingzhe Hu, Shaoyan Pan, Yuheng Li et al.

In this paper, we aimed to provide a review and tutorial for researchers in the field of medical imaging using language models to improve their tasks at hand. We began by providing an overview of the history and concepts of language models, with a special focus on large language models. We then reviewed the current literature on how language models are being used to improve medical imaging, emphasizing different applications such as image captioning, report generation, report classification, finding extraction, visual question answering, interpretable diagnosis, and more for various modalities and organs. The ChatGPT was specially highlighted for researchers to explore more potential applications. We covered the potential benefits of accurate and efficient language models for medical imaging analysis, including improving clinical workflow efficiency, reducing diagnostic errors, and assisting healthcare professionals in providing timely and accurate diagnoses. Overall, our goal was to bridge the gap between language models and medical imaging and inspire new ideas and innovations in this exciting area of research. We hope that this review paper will serve as a useful resource for researchers in this field and encourage further exploration of the possibilities of language models in medical imaging.

Shaoyan Pan, Shao-Yuan Lo, Min Huang et al.

In this work, we propose an adversarial attack-based data augmentation method to improve the deep-learning-based segmentation algorithm for the delineation of Organs-At-Risk (OAR) in abdominal Computed Tomography (CT) to facilitate radiation therapy. We introduce Adversarial Feature Attack for Medical Image (AFA-MI) augmentation, which forces the segmentation network to learn out-of-distribution statistics and improve generalization and robustness to noises. AFA-MI augmentation consists of three steps: 1) generate adversarial noises by Fast Gradient Sign Method (FGSM) on the intermediate features of the segmentation network's encoder; 2) inject the generated adversarial noises into the network, intentionally compromising performance; 3) optimize the network with both clean and adversarial features. Experiments are conducted segmenting the heart, left and right kidney, liver, left and right lung, spinal cord, and stomach. We first evaluate the AFA-MI augmentation using nnUnet and TT-Vnet on the test data from a public abdominal dataset and an institutional dataset. In addition, we validate how AFA-MI affects the networks' robustness to the noisy data by evaluating the networks with added Gaussian noises of varying magnitudes to the institutional dataset. Network performance is quantitatively evaluated using Dice Similarity Coefficient (DSC) for volume-based accuracy. Also, Hausdorff Distance (HD) is applied for surface-based accuracy. On the public dataset, nnUnet with AFA-MI achieves DSC = 0.85 and HD = 6.16 millimeters (mm); and TT-Vnet achieves DSC = 0.86 and HD = 5.62 mm. AFA-MI augmentation further improves all contour accuracies up to 0.217 DSC score when tested on images with Gaussian noises. AFA-MI augmentation is therefore demonstrated to improve segmentation performance and robustness in CT multi-organ segmentation.

Haoyu Fang, Yi Fang, Xiaofeng Yang

CT organ segmentation on computed tomography (CT) images becomes a significant brick for modern medical image analysis, supporting clinic workflows in multiple domains. Previous segmentation methods include 2D convolution neural networks (CNN) based approaches, fed by CT image slices that lack the structural knowledge in axial view, and 3D CNN-based methods with the expensive computation cost in multi-organ segmentation applications. This paper introduces an adversarial performance validation network into a 2D-to-3D segmentation framework. The classifier and performance validator competition contribute to accurate segmentation results via back-propagation. The proposed network organically converts the 2D-coarse result to 3D high-quality segmentation masks in a coarse-to-fine manner, allowing joint optimization to improve segmentation accuracy. Besides, the structural information of one specific organ is depicted by a statistics-meaningful prior bounding box, which is transformed into a global feature leveraging the learning process in 3D fine segmentation. The experiments on the NIH pancreas segmentation dataset demonstrate the proposed network achieves state-of-the-art accuracy on small organ segmentation and outperforms the previous best. High accuracy is also reported on multi-organ segmentation in a dataset collected by ourselves.

Xiaofeng Yang

In this paper, we consider numerical approximations of a binary fluid-surfactant phase-field model coupled with the fluid flow, in which the system is highly nonlinear that couples the incompressible Navier-Stokes equations and two Cahn-Hilliard type equations. We develop two, linear and second order time marching schemes for solving this system, by combining the "Invariant Energy Quadratization" approach for the nonlinear potentials, the projection method for the Navier-Stokes equation, and a subtle implicit-explicit treatment for the stress and convective terms. We prove the well-posedness of the linear system and its unconditional energy stability rigorously. Various 2D and 3D numerical experiments are performed to validate the accuracy and energy stability of the proposed schemes.

Guodong Zhang, Xiaoming He, Xiaofeng Yang

In this paper, we consider numerical approximations for solving the nonlinear magneto-hydrodynamical system, that couples the Navier-Stokes equations and Maxwell equations together. A challenging issue to solve this model numerically is about the time marching problem, i.e., how to develop suitable temporal discretizations for the nonlinear terms in order to preserve the energy stability at the discrete level. We solve this issue in this paper by developing a linear, fully decoupled, first order time-stepping scheme, by combining the projection method and some subtle implicit-explicit treatments for nonlinear coupling terms. We further prove that the scheme is unconditional energy stable and derive the optimal error estimates rigorously. Various numerical experiments are implemented to demonstrate the stability and the accuracy in simulating some benchmark simulations, including the Kelvin-Helmholtz shear instability and the magnetic-frozen phenomenon in the lid-driven cavity.

Zach Eidex, Mojtaba Safari, Richard L. J. Qiu et al.

Objective: Gadolinium-based contrast agents (GBCAs) are commonly used in MRI scans of patients with gliomas to enhance brain tumor characterization using T1-weighted (T1W) MRI. However, there is growing concern about GBCA toxicity. This study develops a deep-learning framework to generate T1-postcontrast (T1C) from pre-contrast multiparametric MRI. Approach: We propose the tumor-aware vision transformer (TA-ViT) model that predicts high-quality T1C images. The predicted tumor region is significantly improved (P < .001) by conditioning the transformer layers from predicted segmentation maps through adaptive layer norm zero mechanism. The predicted segmentation maps were generated with the multi-parametric residual (MPR) ViT model and transformed into a latent space to produce compressed, feature-rich representations. The TA-ViT model predicted T1C MRI images of 501 glioma cases. Selected patients were split into training (N=400), validation (N=50), and test (N=51) sets. Main Results: Both qualitative and quantitative results demonstrate that the TA-ViT model performs superior against the benchmark MRP-ViT model. Our method produces synthetic T1C MRI with high soft tissue contrast and more accurately reconstructs both the tumor and whole brain volumes. The synthesized T1C images achieved remarkable improvements in both tumor and healthy tissue regions compared to the MRP-ViT model. For healthy tissue and tumor regions, the results were as follows: NMSE: 8.53 +/- 4.61E-4; PSNR: 31.2 +/- 2.2; NCC: 0.908 +/- .041 and NMSE: 1.22 +/- 1.27E-4, PSNR: 41.3 +/- 4.7, and NCC: 0.879 +/- 0.042, respectively. Significance: The proposed method generates synthetic T1C images that closely resemble real T1C images. Future development and application of this approach may enable contrast-agent-free MRI for brain tumor patients, eliminating the risk of GBCA toxicity and simplifying the MRI scan protocol.

Kailiang Zhong, Fengtong Xiao, Yan Ren et al.

Causal Inference has wide applications in various areas such as E-commerce and precision medicine, and its performance heavily relies on the accurate estimation of the Individual Treatment Effect (ITE). Conventionally, ITE is predicted by modeling the treated and control response functions separately in their individual sample spaces. However, such an approach usually encounters two issues in practice, i.e. divergent distribution between treated and control groups due to treatment bias, and significant sample imbalance of their population sizes. This paper proposes Deep Entire Space Cross Networks (DESCN) to model treatment effects from an end-to-end perspective. DESCN captures the integrated information of the treatment propensity, the response, and the hidden treatment effect through a cross network in a multi-task learning manner. Our method jointly learns the treatment and response functions in the entire sample space to avoid treatment bias and employs an intermediate pseudo treatment effect prediction network to relieve sample imbalance. Extensive experiments are conducted on a synthetic dataset and a large-scaled production dataset from the E-commerce voucher distribution business. The results indicate that DESCN can successfully enhance the accuracy of ITE estimation and improve the uplift ranking performance. A sample of the production dataset and the source code are released to facilitate future research in the community, which is, to the best of our knowledge, the first large-scale public biased treatment dataset for causal inference.

Hongmei Zhang, Kai Wang, Yan Zhou et al.

Objective: Estimation of the global optima of multiple model parameters is valuable in imaging to form a reliable diagnostic image. Given non convexity of the objective function, it is challenging to avoid from different local minima. Methods: We first formulate the global searching of multiply parameters to be a k-D move in the parametric space, and convert parameters updating to be state-action decision-making problem. We proposed a novel Deep Q-learning of Model Parameters (DQMP) method for global optimization of model parameters by updating the parameter configurations through actions that maximize a Q-value, which employs a Deep Reward Network designed to learn global reward values from both visible curve fitting errors and hidden parameter errors. Results: The DQMP method was evaluated by viscoelastic imaging on soft matter by Kelvin-Voigt fractional derivative (KVFD) modeling. In comparison to other methods, imaging of parameters by DQMP yielded the smallest errors (< 2%) to the ground truth images. DQMP was applied to viscoelastic imaging on biological tissues, which indicated a great potential of imaging on physical parameters in diagnostic applications. Conclusions: DQMP method is able to achieve global optima, yielding accurate model parameter estimates in viscoelastic imaging. Assessment of DQMP by simulation imaging and ultrasound breast imaging demonstrated the consistency, reliability of the imaged parameters, and powerful global searching ability of DQMP. Significance: DQMP method is promising for imaging of multiple parameters, and can be generalized to global optimization for many other complex nonconvex functions and imaging of physical parameters.

Yifei Zhang, Siyi Gu, Bo Pan et al.

Visual explanation (attention)-guided learning uses not only labels but also explanations to guide model reasoning process. While visual attention-guided learning has shown promising results, it requires a large number of explanation annotations that are time-consuming to prepare. However, in many real-world situations, it is usually desired to prompt the model with visual attention without model retraining. For example, when doing AI-assisted cancer classification on a medical image, users (e.g., clinicians) can provide the AI model with visual attention prompt on which areas are indispensable and which are precluded. Despite its promising objectives, achieving visual attention-prompted prediction presents several major challenges: 1) How can the visual prompt be effectively integrated into the model's reasoning process? 2) How should the model handle samples that lack visual prompts? 3) What is the impact on the model's performance when a visual prompt is imperfect? This paper introduces a novel framework for attention-prompted prediction and learning, utilizing visual prompts to steer the model's reasoning process. To improve performance in non-prompted situations and align it with prompted scenarios, we propose a co-training approach for both non-prompted and prompted models, ensuring they share similar parameters and activations. Additionally, for instances where the visual prompt does not encompass the entire input image, we have developed innovative attention prompt refinement methods. These methods interpolate the incomplete prompts while maintaining alignment with the model's explanations. Extensive experiments on four datasets demonstrate the effectiveness of our proposed framework in enhancing predictions for samples both with and without prompt.

Xiaojing Zhong, Xinyi Huang, Xiaofeng Yang et al.

Diffusion models usher a new era of video editing, flexibly manipulating the video contents with text prompts. Despite the widespread application demand in editing human-centered videos, these models face significant challenges in handling complex objects like humans. In this paper, we introduce DeCo, a novel video editing framework specifically designed to treat humans and the background as separate editable targets, ensuring global spatial-temporal consistency by maintaining the coherence of each individual component. Specifically, we propose a decoupled dynamic human representation that utilizes a parametric human body prior to generate tailored humans while preserving the consistent motions as the original video. In addition, we consider the background as a layered atlas to apply text-guided image editing approaches on it. To further enhance the geometry and texture of humans during the optimization, we extend the calculation of score distillation sampling into normal space and image space. Moreover, we tackle inconsistent lighting between the edited targets by leveraging a lighting-aware video harmonizer, a problem previously overlooked in decompose-edit-combine approaches. Extensive qualitative and numerical experiments demonstrate that DeCo outperforms prior video editing methods in human-centered videos, especially in longer videos.

Mojtaba Safari, Shansong Wang, Vanessa L Wildman et al.

Background: High-resolution MRI is critical for diagnosis, but long acquisition times limit clinical use. Super-resolution (SR) can enhance resolution post-scan, yet existing deep learning methods face fidelity-efficiency trade-offs. Purpose: To develop a computationally efficient and accurate deep learning framework for MRI SR that preserves anatomical detail for clinical integration. Materials and Methods: We propose a novel SR framework combining multi-head selective state-space models (MHSSM) with a lightweight channel MLP. The model uses 2D patch extraction with hybrid scanning to capture long-range dependencies. Each MambaFormer block integrates MHSSM, depthwise convolutions, and gated channel mixing. Evaluation used 7T brain T1 MP2RAGE maps (n=142) and 1.5T prostate T2w MRI (n=334). Comparisons included Bicubic interpolation, GANs (CycleGAN, Pix2pix, SPSR), transformers (SwinIR), Mamba (MambaIR), and diffusion models (I2SB, Res-SRDiff). Results: Our model achieved superior performance with exceptional efficiency. For 7T brain data: SSIM=0.951+-0.021, PSNR=26.90+-1.41 dB, LPIPS=0.076+-0.022, GMSD=0.083+-0.017, significantly outperforming all baselines (p<0.001). For prostate data: SSIM=0.770+-0.049, PSNR=27.15+-2.19 dB, LPIPS=0.190+-0.095, GMSD=0.087+-0.013. The framework used only 0.9M parameters and 57 GFLOPs, reducing parameters by 99.8% and computation by 97.5% versus Res-SRDiff, while outperforming SwinIR and MambaIR in accuracy and efficiency. Conclusion: The proposed framework provides an efficient, accurate MRI SR solution, delivering enhanced anatomical detail across datasets. Its low computational demand and state-of-the-art performance show strong potential for clinical translation.

Mojtaba Safari, Zach Eidex, Chih-Wei Chang et al.

Magnetic resonance imaging (MRI) is a non-invasive imaging modality and provides comprehensive anatomical and functional insights into the human body. However, its long acquisition times can lead to patient discomfort, motion artifacts, and limiting real-time applications. To address these challenges, strategies such as parallel imaging have been applied, which utilize multiple receiver coils to speed up the data acquisition process. Additionally, compressed sensing (CS) is a method that facilitates image reconstruction from sparse data, significantly reducing image acquisition time by minimizing the amount of data collection needed. Recently, deep learning (DL) has emerged as a powerful tool for improving MRI reconstruction. It has been integrated with parallel imaging and CS principles to achieve faster and more accurate MRI reconstructions. This review comprehensively examines DL-based techniques for MRI reconstruction. We categorize and discuss various DL-based methods, including end-to-end approaches, unrolled optimization, and federated learning, highlighting their potential benefits. Our systematic review highlights significant contributions and underscores the potential of DL in MRI reconstruction. Additionally, we summarize key results and trends in DL-based MRI reconstruction, including quantitative metrics, the dataset, acceleration factors, and the progress of and research interest in DL techniques over time. Finally, we discuss potential future directions and the importance of DL-based MRI reconstruction in advancing medical imaging. To facilitate further research in this area, we provide a GitHub repository that includes up-to-date DL-based MRI reconstruction publications and public datasets-https://github.com/mosaf/Awesome-DL-based-CS-MRI.

Weijing Tao, Xiaofeng Yang, Miaomiao Cui et al.

We introduce InteractPro, a comprehensive framework for dynamic motion-aware image composition. At its core is InteractPlan, an intelligent planner that leverages a Large Vision Language Model (LVLM) for scenario analysis and object placement, determining the optimal composition strategy to achieve realistic motion effects. Based on each scenario, InteractPlan selects between our two specialized modules: InteractPhys and InteractMotion. InteractPhys employs an enhanced Material Point Method (MPM)-based simulation to produce physically faithful and controllable object-scene interactions, capturing diverse and abstract events that require true physical modeling. InteractMotion, in contrast, is a training-free method based on pretrained video diffusion. Traditional composition approaches suffer from two major limitations: requiring manual planning for object placement and generating static, motionless outputs. By unifying simulation-based and diffusion-based methods under planner guidance, InteractPro overcomes these challenges, ensuring richly motion-aware compositions. Extensive quantitative and qualitative evaluations demonstrate InteractPro's effectiveness in producing controllable, and coherent compositions across varied scenarios.

Mingzhe Hu, Xiaofeng Yang

This study presents a lightweight pipeline for skin lesion detection, addressing the challenges posed by imbalanced class distribution and subtle or atypical appearances of some lesions. The pipeline is built around a lightweight model that leverages ghosted features and the DFC attention mechanism to reduce computational complexity while maintaining high performance. The model was trained on the HAM10000 dataset, which includes various types of skin lesions. To address the class imbalance in the dataset, the synthetic minority over-sampling technique and various image augmentation techniques were used. The model also incorporates a knowledge-based loss weighting technique, which assigns different weights to the loss function at the class level and the instance level, helping the model focus on minority classes and challenging samples. This technique involves assigning different weights to the loss function on two levels - the class level and the instance level. By applying appropriate loss weights, the model pays more attention to the minority classes and challenging samples, thus improving its ability to correctly detect and classify different skin lesions. The model achieved an accuracy of 92.4%, a precision of 84.2%, a recall of 86.9%, a f1-score of 85.4% with particularly strong performance in identifying Benign Keratosis-like lesions (BKL) and Nevus (NV). Despite its superior performance, the model's computational cost is considerably lower than some models with less accuracy, making it an optimal solution for real-world applications where both accuracy and efficiency are essential.

Siyu Cao, Hangting Chen, Peng Chen et al.

We present HunyuanImage 3.0, a native multimodal model that unifies multimodal understanding and generation within an autoregressive framework, with its image generation module publicly available. The achievement of HunyuanImage 3.0 relies on several key components, including meticulous data curation, advanced architecture design, a native Chain-of-Thoughts schema, progressive model pre-training, aggressive model post-training, and an efficient infrastructure that enables large-scale training and inference. With these advancements, we successfully trained a Mixture-of-Experts (MoE) model comprising over 80 billion parameters in total, with 13 billion parameters activated per token during inference, making it the largest and most powerful open-source image generative model to date. We conducted extensive experiments and the results of automatic and human evaluation of text-image alignment and visual quality demonstrate that HunyuanImage 3.0 rivals previous state-of-the-art models. By releasing the code and weights of HunyuanImage 3.0, we aim to enable the community to explore new ideas with a state-of-the-art foundation model, fostering a dynamic and vibrant multimodal ecosystem. All open source assets are publicly available at https://github.com/Tencent-Hunyuan/HunyuanImage-3.0

Yuheng Li, Yuxiang Lai, Maria Thor et al.

Computed tomography (CT) is extensively used for accurate visualization and segmentation of organs and lesions. While deep learning models such as convolutional neural networks (CNNs) and vision transformers (ViTs) have significantly improved CT image analysis, their performance often declines when applied to diverse, real-world clinical data. Although foundation models offer a broader and more adaptable solution, their potential is limited due to the challenge of obtaining large-scale, voxel-level annotations for medical images. In response to these challenges, prompting-based models using visual or text prompts have emerged. Visual-prompting methods, such as the Segment Anything Model (SAM), still require significant manual input and can introduce ambiguity when applied to clinical scenarios. Instead, foundation models that use text prompts offer a more versatile and clinically relevant approach. Notably, current text-prompt models, such as the CLIP-Driven Universal Model, are limited to text prompts already encountered during training and struggle to process the complex and diverse scenarios of real-world clinical applications. Instead of fine-tuning models trained from natural imaging, we propose OpenVocabCT, a vision-language model pretrained on large-scale 3D CT images for universal text-driven segmentation. Using the large-scale CT-RATE dataset, we decompose the diagnostic reports into fine-grained, organ-level descriptions using large language models for multi-granular contrastive learning. We evaluate our OpenVocabCT on downstream segmentation tasks across nine public datasets for organ and tumor segmentation, demonstrating the superior performance of our model compared to existing methods. All code, datasets, and models will be publicly released at https://github.com/ricklisz/OpenVocabCT.

Mojtaba Safari, Shansong Wang, Zach Eidex et al.

Objective:This study introduces a residual error-shifting mechanism that drastically reduces sampling steps while preserving critical anatomical details, thus accelerating MRI reconstruction. Approach:We propose a novel diffusion-based SR framework called Res-SRDiff, which integrates residual error shifting into the forward diffusion process. This enables efficient HR image reconstruction by aligning the degraded HR and LR distributions.We evaluated Res-SRDiff on ultra-high-field brain T1 MP2RAGE maps and T2-weighted prostate images, comparing it with Bicubic, Pix2pix, CycleGAN, and a conventional denoising diffusion probabilistic model with vision transformer backbone (TM-DDPM), using quantitative metrics such as peak signal-to-noise ratio (PSNR), structural similarity index (SSIM), gradient magnitude similarity deviation (GMSD), and learned perceptual image patch similarity (LPIPS). Main results: Res-SRDiff significantly outperformed all comparative methods in terms of PSNR, SSIM, and GMSD across both datasets, with statistically significant improvements (p-values<<0.05). The model achieved high-fidelity image restoration with only four sampling steps, drastically reducing computational time to under one second per slice, which is substantially faster than conventional TM-DDPM with around 20 seconds per slice. Qualitative analyses further demonstrated that Res-SRDiff effectively preserved fine anatomical details and lesion morphology in both brain and pelvic MRI images. Significance: Our findings show that Res-SRDiff is an efficient and accurate MRI SR method, markedly improving computational efficiency and image quality. Integrating residual error shifting into the diffusion process allows for rapid and robust HR image reconstruction, enhancing clinical MRI workflows and advancing medical imaging research. The source at:https://github.com/mosaf/Res-SRDiff

Yuheng Li, Yizhou Wu, Yuxiang Lai et al.

Accurate segmentation of organs and tumors in CT and MRI scans is essential for diagnosis, treatment planning, and disease monitoring. While deep learning has advanced automated segmentation, most models remain task-specific, lacking generalizability across modalities and institutions. Vision foundation models (FMs) pretrained on billion-scale natural images offer powerful and transferable representations. However, adapting them to medical imaging faces two key challenges: (1) the ViT backbone of most foundation models still underperform specialized CNNs on medical image segmentation, and (2) the large domain gap between natural and medical images limits transferability. We introduce MedDINOv3, a simple and effective framework for adapting DINOv3 to medical segmentation. We first revisit plain ViTs and design a simple and effective architecture with multi-scale token aggregation. Then, we perform domain-adaptive pretraining on CT-3M, a curated collection of 3.87M axial CT slices, using a multi-stage DINOv3 recipe to learn robust dense features. MedDINOv3 matches or exceeds state-of-the-art performance across four segmentation benchmarks, demonstrating the potential of vision foundation models as unified backbones for medical image segmentation. The code is available at https://github.com/ricklisz/MedDINOv3.

Wenhao Shen, Wanqi Yin, Xiaofeng Yang et al.

Human mesh recovery (HMR) from a single image is inherently ill-posed due to depth ambiguity and occlusions. Probabilistic methods have tried to solve this by generating numerous plausible 3D human mesh predictions, but they often exhibit misalignment with 2D image observations and weak robustness to in-the-wild images. To address these issues, we propose ADHMR, a framework that Aligns a Diffusion-based HMR model in a preference optimization manner. First, we train a human mesh prediction assessment model, HMR-Scorer, capable of evaluating predictions even for in-the-wild images without 3D annotations. We then use HMR-Scorer to create a preference dataset, where each input image has a pair of winner and loser mesh predictions. This dataset is used to finetune the base model using direct preference optimization. Moreover, HMR-Scorer also helps improve existing HMR models by data cleaning, even with fewer training samples. Extensive experiments show that ADHMR outperforms current state-of-the-art methods. Code is available at: https://github.com/shenwenhao01/ADHMR.

Yifei Zhang, Jiashuo Zhang, Mojtaba Safari et al.

Low-dose chest computed tomography (LDCT) inherently captures both pulmonary and cardiac structures, offering a unique opportunity for joint assessment of lung and cardiovascular health. However, most existing approaches treat these domains as independent tasks, overlooking their physiological interplay and shared imaging biomarkers. We propose an Explainable Cross-Disease Reasoning Framework that enables interpretable cardiopulmonary risk assessment from a single LDCT scan. The framework introduces an agentic reasoning process that emulates clinical diagnostic thinking-first perceiving pulmonary findings, then reasoning through established medical knowledge, and finally deriving a cardiovascular judgment with explanatory rationale. It integrates three synergistic components: a pulmonary perception module that summarizes lung abnormalities, a knowledge-guided reasoning module that infers their cardiovascular implications, and a cardiac representation module that encodes structural biomarkers. Their outputs are fused to produce a holistic cardiovascular risk prediction that is both accurate and physiologically grounded. Experiments on the NLST cohort demonstrate that the proposed framework achieves state-of-the-art performance for CVD screening and mortality prediction, outperforming single-disease and purely image-based baselines. Beyond quantitative gains, the framework provides human-verifiable reasoning that aligns with cardiological understanding, revealing coherent links between pulmonary abnormalities and cardiac stress mechanisms. Overall, this work establishes a unified and explainable paradigm for cardiovascular analysis from LDCT, bridging the gap between image-based prediction and mechanism-based medical interpretation.

Suyang Xi, Songtao Hu, Yuxiang Lai et al.

Medical vision--language models (VLMs) have shown strong potential for medical visual question answering (VQA), yet their reasoning remains largely text-centric: images are encoded once as static context, and subsequent inference is dominated by language. This paradigm is fundamentally limited in clinical scenarios, where accurate answers often depend on subtle, localized visual evidence that cannot be reliably preserved in static embeddings. We propose \textsc{MedLVR}, a latent visual reasoning framework that introduces an explicit visual evidence state into autoregressive decoding. Instead of relying solely on text-based intermediate reasoning, \textsc{MedLVR} interleaves a short latent reasoning segment within the decoder by reusing hidden states as continuous latent steps, enabling iterative preservation and refinement of query-relevant visual evidence before answer generation. To support effective visual supervision, we adopt a two-stage training strategy: region of interest (ROI)-supervised fine-tuning aligns latent states with clinically relevant image evidence, and Visual-Latent Policy Optimization (VLPO) further optimizes latent reasoning and answer generation under outcome-level rewards. Experiments on OmniMedVQA and five external medical VQA benchmarks show that \textsc{MedLVR} consistently outperforms recent reasoning baselines and improves the average score over the Qwen2.5-VL-7B backbone from 48.3\% to 53.4\%. These results show that latent visual reasoning provides an effective mechanism for preserving diagnostically relevant visual evidence and improving the reliability of medical VQA.

Mojtaba Safari, Shansong Wang, Zach Eidex et al.

Background: MRI is crucial for brain imaging but is highly susceptible to motion artifacts due to long acquisition times. This study introduces PI-MoCoNet, a physics-informed motion correction network that integrates spatial and k-space information to remove motion artifacts without explicit motion parameter estimation, enhancing image fidelity and diagnostic reliability. Materials and Methods: PI-MoCoNet consists of a motion detection network (U-net with spatial averaging) to identify corrupted k-space lines and a motion correction network (U-net with Swin Transformer blocks) to reconstruct motion-free images. The correction is guided by three loss functions: reconstruction (L1), perceptual (LPIPS), and data consistency (Ldc). Motion artifacts were simulated via rigid phase encoding perturbations and evaluated on IXI and MR-ART datasets against Pix2Pix, CycleGAN, and U-net using PSNR, SSIM, and NMSE. Results: PI-MoCoNet significantly improved image quality. On IXI, for minor artifacts, PSNR increased from 34.15 dB to 45.95 dB, SSIM from 0.87 to 1.00, and NMSE reduced from 0.55% to 0.04%. For moderate artifacts, PSNR improved from 30.23 dB to 42.16 dB, SSIM from 0.80 to 0.99, and NMSE from 1.32% to 0.09%. For heavy artifacts, PSNR rose from 27.99 dB to 36.01 dB, SSIM from 0.75 to 0.97, and NMSE decreased from 2.21% to 0.36%. On MR-ART, PI-MoCoNet achieved PSNR gains of ~10 dB and SSIM improvements of up to 0.20, with NMSE reductions of ~6%. Ablation studies confirmed the importance of data consistency and perceptual losses, yielding a 1 dB PSNR gain and 0.17% NMSE reduction. Conclusions: PI-MoCoNet effectively mitigates motion artifacts in brain MRI, outperforming existing methods. Its ability to integrate spatial and k-space information makes it a promising tool for clinical use in motion-prone settings. Code: https://github.com/mosaf/PI-MoCoNet.git.