Jieyi Cai

CV
h-index27
4papers
7citations
Novelty56%
AI Score44

4 Papers

IVJan 28
ECGFlowCMR: Pretraining with ECG-Generated Cine CMR Improves Cardiac Disease Classification and Phenotype Prediction

Xiaocheng Fang, Zhengyao Ding, Jieyi Cai et al.

Cardiac Magnetic Resonance (CMR) imaging provides a comprehensive assessment of cardiac structure and function but remains constrained by high acquisition costs and reliance on expert annotations, limiting the availability of large-scale labeled datasets. In contrast, electrocardiograms (ECGs) are inexpensive, widely accessible, and offer a promising modality for conditioning the generative synthesis of cine CMR. To this end, we propose ECGFlowCMR, a novel ECG-to-CMR generative framework that integrates a Phase-Aware Masked Autoencoder (PA-MAE) and an Anatomy-Motion Disentangled Flow (AMDF) to address two fundamental challenges: (1) the cross-modal temporal mismatch between multi-beat ECG recordings and single-cycle CMR sequences, and (2) the anatomical observability gap due to the limited structural information inherent in ECGs. Extensive experiments on the UK Biobank and a proprietary clinical dataset demonstrate that ECGFlowCMR can generate realistic cine CMR sequences from ECG inputs, enabling scalable pretraining and improving performance on downstream cardiac disease classification and phenotype prediction tasks.

LGSep 24, 2025
PPGFlowECG: Latent Rectified Flow with Cross-Modal Encoding for PPG-Guided ECG Generation and Cardiovascular Disease Detection

Xiaocheng Fang, Jiarui Jin, Haoyu Wang et al.

In clinical practice, electrocardiography (ECG) remains the gold standard for cardiac monitoring, providing crucial insights for diagnosing a wide range of cardiovascular diseases (CVDs). However, its reliance on specialized equipment and trained personnel limits feasibility for continuous routine monitoring. Photoplethysmography (PPG) offers accessible, continuous monitoring but lacks definitive electrophysiological information, preventing conclusive diagnosis. Generative models present a promising approach to translate PPG into clinically valuable ECG signals, yet current methods face substantial challenges, including the misalignment of physiological semantics in generative models and the complexity of modeling in high-dimensional signals. To this end, we propose PPGFlowECG, a two-stage framework that aligns PPG and ECG in a shared latent space via the CardioAlign Encoder and employs latent rectified flow to generate ECGs with high fidelity and interpretability. To the best of our knowledge, this is the first study to experiment on MCMED, a newly released clinical-grade dataset comprising over 10 million paired PPG-ECG samples from more than 118,000 emergency department visits with expert-labeled cardiovascular disease annotations. Results demonstrate the effectiveness of our method for PPG-to-ECG translation and cardiovascular disease detection. Moreover, cardiologist-led evaluations confirm that the synthesized ECGs achieve high fidelity and improve diagnostic reliability, underscoring our method's potential for real-world cardiovascular screening.

CVJul 25, 2025
Revisiting DETR for Small Object Detection via Noise-Resilient Query Optimization

Xiaocheng Fang, Jieyi Cai, Huanyu Liu et al.

Despite advancements in Transformer-based detectors for small object detection (SOD), recent studies show that these detectors still face challenges due to inherent noise sensitivity in feature pyramid networks (FPN) and diminished query quality in existing label assignment strategies. In this paper, we propose a novel Noise-Resilient Query Optimization (NRQO) paradigm, which innovatively incorporates the Noise-Tolerance Feature Pyramid Network (NT-FPN) and the Pairwise-Similarity Region Proposal Network (PS-RPN). Specifically, NT-FPN mitigates noise during feature fusion in FPN by preserving spatial and semantic information integrity. Unlike existing label assignment strategies, PS-RPN generates a sufficient number of high-quality positive queries by enhancing anchor-ground truth matching through position and shape similarities, without the need for additional hyperparameters. Extensive experiments on multiple benchmarks consistently demonstrate the superiority of NRQO over state-of-the-art baselines.

CVJul 25, 2025
PerioDet: Large-Scale Panoramic Radiograph Benchmark for Clinical-Oriented Apical Periodontitis Detection

Xiaocheng Fang, Jieyi Cai, Huanyu Liu et al.

Apical periodontitis is a prevalent oral pathology that presents significant public health challenges. Despite advances in automated diagnostic systems across various medical fields, the development of Computer-Aided Diagnosis (CAD) applications for apical periodontitis is still constrained by the lack of a large-scale, high-quality annotated dataset. To address this issue, we release a large-scale panoramic radiograph benchmark called "PerioXrays", comprising 3,673 images and 5,662 meticulously annotated instances of apical periodontitis. To the best of our knowledge, this is the first benchmark dataset for automated apical periodontitis diagnosis. This paper further proposes a clinical-oriented apical periodontitis detection (PerioDet) paradigm, which jointly incorporates Background-Denoising Attention (BDA) and IoU-Dynamic Calibration (IDC) mechanisms to address the challenges posed by background noise and small targets in automated detection. Extensive experiments on the PerioXrays dataset demonstrate the superiority of PerioDet in advancing automated apical periodontitis detection. Additionally, a well-designed human-computer collaborative experiment underscores the clinical applicability of our method as an auxiliary diagnostic tool for professional dentists.