Zekun Jiang

CV
h-index18
21papers
387citations
Novelty27%
AI Score47

21 Papers

IVAug 21, 2024Code
NuSegDG: Integration of Heterogeneous Space and Gaussian Kernel for Domain-Generalized Nuclei Segmentation

Zhenye Lou, Qing Xu, Zekun Jiang et al.

Domain-generalized nuclei segmentation refers to the generalizability of models to unseen domains based on knowledge learned from source domains and is challenged by various image conditions, cell types, and stain strategies. Recently, the Segment Anything Model (SAM) has made great success in universal image segmentation by interactive prompt modes (e.g., point and box). Despite its strengths, the original SAM presents limited adaptation to medical images. Moreover, SAM requires providing manual bounding box prompts for each object to produce satisfactory segmentation masks, so it is laborious in nuclei segmentation scenarios. To address these limitations, we propose a domain-generalizable framework for nuclei image segmentation, abbreviated to NuSegDG. Specifically, we first devise a Heterogeneous Space Adapter (HS-Adapter) to learn multi-dimensional feature representations of different nuclei domains by injecting a small number of trainable parameters into the image encoder of SAM. To alleviate the labor-intensive requirement of manual prompts, we introduce a Gaussian-Kernel Prompt Encoder (GKP-Encoder) to generate density maps driven by a single point, which guides segmentation predictions by mixing position prompts and semantic prompts. Furthermore, we present a Two-Stage Mask Decoder (TSM-Decoder) to effectively convert semantic masks to instance maps without the manual demand for morphological shape refinement. Based on our experimental evaluations, the proposed NuSegDG demonstrates state-of-the-art performance in nuclei instance segmentation, exhibiting superior domain generalization capabilities. The source code is available at https://github.com/xq141839/NuSegDG.

CVNov 1, 2022Code
Self-supervised Character-to-Character Distillation for Text Recognition

Tongkun Guan, Wei Shen, Xue Yang et al.

When handling complicated text images (e.g., irregular structures, low resolution, heavy occlusion, and uneven illumination), existing supervised text recognition methods are data-hungry. Although these methods employ large-scale synthetic text images to reduce the dependence on annotated real images, the domain gap still limits the recognition performance. Therefore, exploring the robust text feature representations on unlabeled real images by self-supervised learning is a good solution. However, existing self-supervised text recognition methods conduct sequence-to-sequence representation learning by roughly splitting the visual features along the horizontal axis, which limits the flexibility of the augmentations, as large geometric-based augmentations may lead to sequence-to-sequence feature inconsistency. Motivated by this, we propose a novel self-supervised Character-to-Character Distillation method, CCD, which enables versatile augmentations to facilitate general text representation learning. Specifically, we delineate the character structures of unlabeled real images by designing a self-supervised character segmentation module. Following this, CCD easily enriches the diversity of local characters while keeping their pairwise alignment under flexible augmentations, using the transformation matrix between two augmented views from images. Experiments demonstrate that CCD achieves state-of-the-art results, with average performance gains of 1.38% in text recognition, 1.7% in text segmentation, 0.24 dB (PSNR) and 0.0321 (SSIM) in text super-resolution. Code is available at https://github.com/TongkunGuan/CCD.

CVApr 28, 2023
SAM on Medical Images: A Comprehensive Study on Three Prompt Modes

Dongjie Cheng, Ziyuan Qin, Zekun Jiang et al.

The Segment Anything Model (SAM) made an eye-catching debut recently and inspired many researchers to explore its potential and limitation in terms of zero-shot generalization capability. As the first promptable foundation model for segmentation tasks, it was trained on a large dataset with an unprecedented number of images and annotations. This large-scale dataset and its promptable nature endow the model with strong zero-shot generalization. Although the SAM has shown competitive performance on several datasets, we still want to investigate its zero-shot generalization on medical images. As we know, the acquisition of medical image annotation usually requires a lot of effort from professional practitioners. Therefore, if there exists a foundation model that can give high-quality mask prediction simply based on a few point prompts, this model will undoubtedly become the game changer for medical image analysis. To evaluate whether SAM has the potential to become the foundation model for medical image segmentation tasks, we collected more than 12 public medical image datasets that cover various organs and modalities. We also explore what kind of prompt can lead to the best zero-shot performance with different modalities. Furthermore, we find that a pattern shows that the perturbation of the box size will significantly change the prediction accuracy. Finally, Extensive experiments show that the predicted mask quality varied a lot among different datasets. And providing proper prompts, such as bounding boxes, to the SAM will significantly increase its performance.

CVMar 12, 2023
Towards General Purpose Medical AI: Continual Learning Medical Foundation Model

Huahui Yi, Ziyuan Qin, Qicheng Lao et al.

Inevitable domain and task discrepancies in real-world scenarios can impair the generalization performance of the pre-trained deep models for medical data. Therefore, we audaciously propose that we should build a general-purpose medical AI system that can be seamlessly adapted to downstream domains/tasks. Since the domain/task adaption procedures usually involve additional labeling work for the target data, designing a data-efficient adaption algorithm is desired to save the cost of transferring the learned knowledge. Our recent work found that vision-language models (VLMs) are efficient learners with extraordinary cross-domain ability. Therefore, in this work, we further explore the possibility of leveraging pre-trained VLMs as medical foundation models for building general-purpose medical AI, where we thoroughly investigate three machine-learning paradigms, i.e., domain/task-specialized learning, joint learning, and continual learning, for training the VLMs and evaluate their generalization performance on cross-domain and cross-task test sets. To alleviate the catastrophic forgetting during sequential training, we employ rehearsal learning and receive a sharp boost in terms of generalization capability. In a nutshell, our empirical evidence suggests that continual learning may be a practical and efficient learning paradigm for the medical foundation model. And we hope researchers can use our empirical evidence as basement to further explore the path toward medical foundation model.

AISep 4, 2024
Large Language Models and Cognitive Science: A Comprehensive Review of Similarities, Differences, and Challenges

Qian Niu, Junyu Liu, Ziqian Bi et al.

This comprehensive review explores the intersection of Large Language Models (LLMs) and cognitive science, examining similarities and differences between LLMs and human cognitive processes. We analyze methods for evaluating LLMs cognitive abilities and discuss their potential as cognitive models. The review covers applications of LLMs in various cognitive fields, highlighting insights gained for cognitive science research. We assess cognitive biases and limitations of LLMs, along with proposed methods for improving their performance. The integration of LLMs with cognitive architectures is examined, revealing promising avenues for enhancing artificial intelligence (AI) capabilities. Key challenges and future research directions are identified, emphasizing the need for continued refinement of LLMs to better align with human cognition. This review provides a balanced perspective on the current state and future potential of LLMs in advancing our understanding of both artificial and human intelligence.

CLSep 17, 2024
Surveying the MLLM Landscape: A Meta-Review of Current Surveys

Ming Li, Keyu Chen, Ziqian Bi et al.

The rise of Multimodal Large Language Models (MLLMs) has become a transformative force in the field of artificial intelligence, enabling machines to process and generate content across multiple modalities, such as text, images, audio, and video. These models represent a significant advancement over traditional unimodal systems, opening new frontiers in diverse applications ranging from autonomous agents to medical diagnostics. By integrating multiple modalities, MLLMs achieve a more holistic understanding of information, closely mimicking human perception. As the capabilities of MLLMs expand, the need for comprehensive and accurate performance evaluation has become increasingly critical. This survey aims to provide a systematic review of benchmark tests and evaluation methods for MLLMs, covering key topics such as foundational concepts, applications, evaluation methodologies, ethical concerns, security, efficiency, and domain-specific applications. Through the classification and analysis of existing literature, we summarize the main contributions and methodologies of various surveys, conduct a detailed comparative analysis, and examine their impact within the academic community. Additionally, we identify emerging trends and underexplored areas in MLLM research, proposing potential directions for future studies. This survey is intended to offer researchers and practitioners a comprehensive understanding of the current state of MLLM evaluation, thereby facilitating further progress in this rapidly evolving field.

CYSep 14, 2024
From Text to Multimodality: Exploring the Evolution and Impact of Large Language Models in Medical Practice

Qian Niu, Keyu Chen, Ming Li et al.

Large Language Models (LLMs) have rapidly evolved from text-based systems to multimodal platforms, significantly impacting various sectors including healthcare. This comprehensive review explores the progression of LLMs to Multimodal Large Language Models (MLLMs) and their growing influence in medical practice. We examine the current landscape of MLLMs in healthcare, analyzing their applications across clinical decision support, medical imaging, patient engagement, and research. The review highlights the unique capabilities of MLLMs in integrating diverse data types, such as text, images, and audio, to provide more comprehensive insights into patient health. We also address the challenges facing MLLM implementation, including data limitations, technical hurdles, and ethical considerations. By identifying key research gaps, this paper aims to guide future investigations in areas such as dataset development, modality alignment methods, and the establishment of ethical guidelines. As MLLMs continue to shape the future of healthcare, understanding their potential and limitations is crucial for their responsible and effective integration into medical practice.

LGSep 20, 2024
Deep Learning and Machine Learning, Advancing Big Data Analytics and Management: Tensorflow Pretrained Models

Keyu Chen, Ziqian Bi, Qian Niu et al.

The application of TensorFlow pre-trained models in deep learning is explored, with an emphasis on practical guidance for tasks such as image classification and object detection. The study covers modern architectures, including ResNet, MobileNet, and EfficientNet, and demonstrates the effectiveness of transfer learning through real-world examples and experiments. A comparison of linear probing and model fine-tuning is presented, supplemented by visualizations using techniques like PCA, t-SNE, and UMAP, allowing for an intuitive understanding of the impact of these approaches. The work provides complete example code and step-by-step instructions, offering valuable insights for both beginners and advanced users. By integrating theoretical concepts with hands-on practice, the paper equips readers with the tools necessary to address deep learning challenges efficiently.

CLSep 25, 2024
Deep Learning and Machine Learning, Advancing Big Data Analytics and Management: Handy Appetizer

Benji Peng, Xuanhe Pan, Yizhu Wen et al.

This book explores the role of Artificial Intelligence (AI), Machine Learning (ML), and Deep Learning (DL) in driving the progress of big data analytics and management. The book focuses on simplifying the complex mathematical concepts behind deep learning, offering intuitive visualizations and practical case studies to help readers understand how neural networks and technologies like Convolutional Neural Networks (CNNs) work. It introduces several classic models and technologies such as Transformers, GPT, ResNet, BERT, and YOLO, highlighting their applications in fields like natural language processing, image recognition, and autonomous driving. The book also emphasizes the importance of pre-trained models and how they can enhance model performance and accuracy, with instructions on how to apply these models in various real-world scenarios. Additionally, it provides an overview of key big data management technologies like SQL and NoSQL databases, as well as distributed computing frameworks such as Apache Hadoop and Spark, explaining their importance in managing and processing vast amounts of data. Ultimately, the book underscores the value of mastering deep learning and big data management skills as critical tools for the future workforce, making it an essential resource for both beginners and experienced professionals.

SPOct 22, 2024Code
EEG-DIF: Early Warning of Epileptic Seizures through Generative Diffusion Model-based Multi-channel EEG Signals Forecasting

Zekun Jiang, Wei Dai, Qu Wei et al.

Multi-channel EEG signals are commonly used for the diagnosis and assessment of diseases such as epilepsy. Currently, various EEG diagnostic algorithms based on deep learning have been developed. However, most research efforts focus solely on diagnosing and classifying current signal data but do not consider the prediction of future trends for early warning. Additionally, since multi-channel EEG can be essentially regarded as the spatio-temporal signal data received by detectors at different locations in the brain, how to construct spatio-temporal information representations of EEG signals to facilitate future trend prediction for multi-channel EEG becomes an important problem. This study proposes a multi-signal prediction algorithm based on generative diffusion models (EEG-DIF), which transforms the multi-signal forecasting task into an image completion task, allowing for comprehensive representation and learning of the spatio-temporal correlations and future developmental patterns of multi-channel EEG signals. Here, we employ a publicly available epilepsy EEG dataset to construct and validate the EEG-DIF. The results demonstrate that our method can accurately predict future trends for multi-channel EEG signals simultaneously. Furthermore, the early warning accuracy for epilepsy seizures based on the generated EEG data reaches 0.89. In general, EEG-DIF provides a novel approach for characterizing multi-channel EEG signals and an innovative early warning algorithm for epilepsy seizures, aiding in optimizing and enhancing the clinical diagnosis process. The code is available at https://github.com/JZK00/EEG-DIF.

CHEM-PHNov 14, 2025
Socrates-Mol: Self-Oriented Cognitive Reasoning through Autonomous Trial-and-Error with Empirical-Bayesian Screening for Molecules

Xiangru Wang, Zekun Jiang, Heng Yang et al.

Molecular property prediction is fundamental to chemical engineering applications such as solvent screening. We present Socrates-Mol, a framework that transforms language models into empirical Bayesian reasoners through context engineering, addressing cold start problems without model fine-tuning. The system implements a reflective-prediction cycle where initial outputs serve as priors, retrieved molecular cases provide evidence, and refined predictions form posteriors, extracting reusable chemical rules from sparse data. We introduce ranking tasks aligned with industrial screening priorities and employ cross-model self-consistency across five language models to reduce variance. Experiments on amine solvent LogP prediction reveal task-dependent patterns: regression achieves 72% MAE reduction and 112% R-squared improvement through self-consistency, while ranking tasks show limited gains due to systematic multi-model biases. The framework reduces deployment costs by over 70% compared to full fine-tuning, providing a scalable solution for molecular property prediction while elucidating the task-adaptive nature of self-consistency mechanisms.

CLOct 28, 2024
Large Language Model Benchmarks in Medical Tasks

Lawrence K. Q. Yan, Qian Niu, Ming Li et al.

With the increasing application of large language models (LLMs) in the medical domain, evaluating these models' performance using benchmark datasets has become crucial. This paper presents a comprehensive survey of various benchmark datasets employed in medical LLM tasks. These datasets span multiple modalities including text, image, and multimodal benchmarks, focusing on different aspects of medical knowledge such as electronic health records (EHRs), doctor-patient dialogues, medical question-answering, and medical image captioning. The survey categorizes the datasets by modality, discussing their significance, data structure, and impact on the development of LLMs for clinical tasks such as diagnosis, report generation, and predictive decision support. Key benchmarks include MIMIC-III, MIMIC-IV, BioASQ, PubMedQA, and CheXpert, which have facilitated advancements in tasks like medical report generation, clinical summarization, and synthetic data generation. The paper summarizes the challenges and opportunities in leveraging these benchmarks for advancing multimodal medical intelligence, emphasizing the need for datasets with a greater degree of language diversity, structured omics data, and innovative approaches to synthesis. This work also provides a foundation for future research in the application of LLMs in medicine, contributing to the evolving field of medical artificial intelligence.

CVFeb 24, 2024
TV-SAM: Increasing Zero-Shot Segmentation Performance on Multimodal Medical Images Using GPT-4 Generated Descriptive Prompts Without Human Annotation

Zekun Jiang, Dongjie Cheng, Ziyuan Qin et al.

This study presents a novel multimodal medical image zero-shot segmentation algorithm named the text-visual-prompt segment anything model (TV-SAM) without any manual annotations. The TV-SAM incorporates and integrates the large language model GPT-4, the vision language model GLIP, and the SAM to autonomously generate descriptive text prompts and visual bounding box prompts from medical images, thereby enhancing the SAM's capability for zero-shot segmentation. Comprehensive evaluations are implemented on seven public datasets encompassing eight imaging modalities to demonstrate that TV-SAM can effectively segment unseen targets across various modalities without additional training. TV-SAM significantly outperforms SAM AUTO and GSAM, closely matching the performance of SAM BBOX with gold standard bounding box prompts and surpasses the state-of-the-art methods on specific datasets such as ISIC and WBC. The study indicates that TV-SAM serves as an effective multimodal medical image zero-shot segmentation algorithm, highlighting the significant contribution of GPT-4 to zero-shot segmentation. By integrating foundational models such as GPT-4, GLIP, and SAM, the ability to address complex problems in specialized domains can be enhanced.

CVJan 4, 2025
Guiding Medical Vision-Language Models with Explicit Visual Prompts: Framework Design and Comprehensive Exploration of Prompt Variations

Kangyu Zhu, Ziyuan Qin, Huahui Yi et al.

While mainstream vision-language models (VLMs) have advanced rapidly in understanding image level information, they still lack the ability to focus on specific areas designated by humans. Rather, they typically rely on large volumes of high-quality image-text paired data to learn and generate posterior attention maps. To address this critical issue, we propose leveraging visual prompts:simple visual markers in various forms to guide and enhance the formation of region-specific attention. Thus, we introduce MedVP, a pioneering framework that integrates medical entity extraction, visual prompt generation, and dataset adaptation for visual prompt guided fine-tuning. We successfully outperform recent state-of-the-art large models across multiple medical VQA datasets. Extensive experiments and Human evaluation are conducted to analyze the impact of different visual prompt forms and how they contribute to performance improvement. The results demonstrate both the effectiveness and clinical significance of our approach.

CVOct 21, 2024
Deep Learning and Machine Learning -- Object Detection and Semantic Segmentation: From Theory to Applications

Jintao Ren, Ziqian Bi, Qian Niu et al.

An in-depth exploration of object detection and semantic segmentation is provided, combining theoretical foundations with practical applications. State-of-the-art advancements in machine learning and deep learning are reviewed, focusing on convolutional neural networks (CNNs), YOLO architectures, and transformer-based approaches such as DETR. The integration of artificial intelligence (AI) techniques and large language models for enhancing object detection in complex environments is examined. Additionally, a comprehensive analysis of big data processing is presented, with emphasis on model optimization and performance evaluation metrics. By bridging the gap between traditional methods and modern deep learning frameworks, valuable insights are offered for researchers, data scientists, and engineers aiming to apply AI-driven methodologies to large-scale object detection tasks.

CVOct 16, 2025
Scaling Tumor Segmentation: Best Lessons from Real and Synthetic Data

Qi Chen, Xinze Zhou, Chen Liu et al.

AI for tumor segmentation is limited by the lack of large, voxel-wise annotated datasets, which are hard to create and require medical experts. In our proprietary JHH dataset of 3,000 annotated pancreatic tumor scans, we found that AI performance stopped improving after 1,500 scans. With synthetic data, we reached the same performance using only 500 real scans. This finding suggests that synthetic data can steepen data scaling laws, enabling more efficient model training than real data alone. Motivated by these lessons, we created AbdomenAtlas 2.0--a dataset of 10,135 CT scans with a total of 15,130 tumor instances per-voxel manually annotated in six organs (pancreas, liver, kidney, colon, esophagus, and uterus) and 5,893 control scans. Annotated by 23 expert radiologists, it is several orders of magnitude larger than existing public tumor datasets. While we continue expanding the dataset, the current version of AbdomenAtlas 2.0 already provides a strong foundation--based on lessons from the JHH dataset--for training AI to segment tumors in six organs. It achieves notable improvements over public datasets, with a +7% DSC gain on in-distribution tests and +16% on out-of-distribution tests.

CLOct 30, 2024
Deep Learning and Machine Learning -- Natural Language Processing: From Theory to Application

Keyu Chen, Cheng Fei, Ziqian Bi et al.

With a focus on natural language processing (NLP) and the role of large language models (LLMs), we explore the intersection of machine learning, deep learning, and artificial intelligence. As artificial intelligence continues to revolutionize fields from healthcare to finance, NLP techniques such as tokenization, text classification, and entity recognition are essential for processing and understanding human language. This paper discusses advanced data preprocessing techniques and the use of frameworks like Hugging Face for implementing transformer-based models. Additionally, it highlights challenges such as handling multilingual data, reducing bias, and ensuring model robustness. By addressing key aspects of data processing and model fine-tuning, this work aims to provide insights into deploying effective and ethically sound AI solutions.

CVJan 5
Evaluating the Diagnostic Classification Ability of Multimodal Large Language Models: Insights from the Osteoarthritis Initiative

Li Wang, Xi Chen, XiangWen Deng et al.

Multimodal large language models (MLLMs) show promising performance on medical visual question answering (VQA) and report generation, but these generation and explanation abilities do not reliably transfer to disease-specific classification. We evaluated MLLM architectures on knee osteoarthritis (OA) radiograph classification, which remains underrepresented in existing medical MLLM benchmarks, even though knee OA affects an estimated 300 to 400 million people worldwide. Through systematic ablation studies manipulating the vision encoder, the connector, and the large language model (LLM) across diverse training strategies, we measured each component's contribution to diagnostic accuracy. In our classification task, a trained vision encoder alone could outperform full MLLM pipelines in classification accuracy and fine-tuning the LLM provided no meaningful improvement over prompt-based guidance. And LoRA fine-tuning on a small, class-balanced dataset (500 images) gave better results than training on a much larger but class-imbalanced set (5,778 images), indicating that data balance and quality can matter more than raw scale for this task. These findings suggest that for domain-specific medical classification, LLMs are more effective as interpreters and report generators rather than as primary classifiers. Therefore, the MLLM architecture appears less suitable for medical image diagnostic classification tasks that demand high certainty. We recommend prioritizing vision encoder optimization and careful dataset curation when developing clinically applicable systems.

AINov 24, 2025
KOM: A Multi-Agent Artificial Intelligence System for Precision Management of Knee Osteoarthritis (KOA)

Weizhi Liu, Xi Chen, Zekun Jiang et al.

Knee osteoarthritis (KOA) affects more than 600 million individuals globally and is associated with significant pain, functional impairment, and disability. While personalized multidisciplinary interventions have the potential to slow disease progression and enhance quality of life, they typically require substantial medical resources and expertise, making them difficult to implement in resource-limited settings. To address this challenge, we developed KOM, a multi-agent system designed to automate KOA evaluation, risk prediction, and treatment prescription. This system assists clinicians in performing essential tasks across the KOA care pathway and supports the generation of tailored management plans based on individual patient profiles, disease status, risk factors, and contraindications. In benchmark experiments, KOM demonstrated superior performance compared to several general-purpose large language models in imaging analysis and prescription generation. A randomized three-arm simulation study further revealed that collaboration between KOM and clinicians reduced total diagnostic and planning time by 38.5% and resulted in improved treatment quality compared to each approach used independently. These findings indicate that KOM could help facilitate automated KOA management and, when integrated into clinical workflows, has the potential to enhance care efficiency. The modular architecture of KOM may also offer valuable insights for developing AI-assisted management systems for other chronic conditions.

AIOct 1, 2025
Cyber Academia-Chemical Engineering (CA-ChemE): A Living Digital Town for Self-Directed Research Evolution and Emergent Scientific Discovery

Zekun Jiang, Chunming Xu, Tianhang Zhou

The rapid advancement of artificial intelligence (AI) has demonstrated substantial potential in chemical engineering, yet existing AI systems remain limited in interdisciplinary collaboration and exploration of uncharted problems. To address these issues, we present the Cyber Academia-Chemical Engineering (CA-ChemE) system, a living digital town that enables self-directed research evolution and emergent scientific discovery through multi-agent collaboration. By integrating domain-specific knowledge bases, knowledge enhancement technologies, and collaboration agents, the system successfully constructs an intelligent ecosystem capable of deep professional reasoning and efficient interdisciplinary collaboration. Our findings demonstrate that knowledge base-enabled enhancement mechanisms improved dialogue quality scores by 10-15% on average across all seven expert agents, fundamentally ensuring technical judgments are grounded in verifiable scientific evidence. However, we observed a critical bottleneck in cross-domain collaboration efficiency, prompting the introduction of a Collaboration Agent (CA) equipped with ontology engineering capabilities. CA's intervention achieved 8.5% improvements for distant-domain expert pairs compared to only 0.8% for domain-proximate pairs - a 10.6-fold difference - unveiling the "diminished collaborative efficiency caused by knowledge-base gaps" effect. This study demonstrates how carefully designed multi-agent architectures can provide a viable pathway toward autonomous scientific discovery in chemical engineering.

IVJun 22, 2025
CT Radiomics-Based Explainable Machine Learning Model for Accurate Differentiation of Malignant and Benign Endometrial Tumors: A Two-Center Study

Tingrui Zhang, Honglin Wu, Zekun Jiang et al.

Aimed to develop and validate a CT radiomics-based explainable machine learning model for precise diagnosing malignancy and benignity specifically in endometrial cancer (EC) patients. A total of 83 EC patients from two centers, including 46 with malignant and 37 with benign conditions, were included, with data split into a training set (n=59) and a testing set (n=24). The regions of interest (ROIs) were manually segmented from pre-surgical CT scans, and 1132 radiomic features were extracted from the pre-surgical CT scans using Pyradiomics. Six explainable machine learning (ML) modeling algorithms were implemented respectively, for determining the optimal radiomics pipeline. The diagnostic performance of the radiomic model was evaluated by using sensitivity, specificity, accuracy, precision, F1 score, AUROC, and AUPRC. To enhance clinical understanding and usability, we separately implemented SHAP analysis and feature mapping visualization, and evaluated the calibration curve and decision curve. By comparing six modeling strategies, the Random Forest model emerged as the optimal choice for diagnosing EC, with a training AUROC of 1.00 and a testing AUROC of 0.96. SHAP identified the most important radiomic features, revealing that all selected features were significantly associated with EC (P < 0.05). Radiomics feature maps also provide a feasible assessment tool for clinical applications. Decision Curve Analysis (DCA) indicated a higher net benefit for our model compared to the "All" and "None" strategies, suggesting its clinical utility in identifying high-risk cases and reducing unnecessary interventions. In conclusion, the CT radiomics-based explainable ML model achieved high diagnostic performance, which could be used as an intelligent auxiliary tool for the diagnosis of endometrial cancer.