Yuwen Chen

Yuwen Chen, Yaqian Chen, Roy Colglazier et al.

Lower extremity computed tomography (CT) contains clinically relevant information for body composition analysis, sarcopenia assessment, and musculoskeletal disease monitoring, but extracting these measurements at scale requires accurate tissue segmentation and an automated quantification workflow. Existing public segmentation tools are not designed for comprehensive lower extremity CT analysis, particularly for clinically important inter/intramuscular adipose tissue, and most public methods only provide mask prediction rather than an end-to-end quantification system. To address this problem, we present LegSegNet, a deep learning system for lower extremity CT tissue segmentation and body composition quantification. Given an input CT scan, LegSegNet segments bone, skeletal muscle, subcutaneous adipose tissue, and inter/intramuscular adipose tissue. It then computes quantitative tissue measurements for downstream analysis. We developed the segmentation model using 1,302 manually annotated CT slices and evaluated it on 900 held-out test slices, with all annotations reviewed by radiologists. We benchmark LegSegNet against a broad set of 2D segmentation methods, including CNN-based models, transformer-based models, and finetuned foundation models, and further evaluate its generalization on an external public CT dataset. LegSegNet achieves the best overall segmentation performance, with an average Dice score of 89.31 on the held-out test set. To our knowledge, LegSegNet is the first publicly available end-to-end system for lower extremity CT tissue segmentation and quantification, providing a practical evaluation tool for future computer vision research in medical image analysis. The code and model weights are available at: https://github.com/mazurowski-lab/LegSegNet

Haoyu Dong, Hanxue Gu, Yaqian Chen et al.

Segment Anything Model (SAM) has gained significant attention because of its ability to segment various objects in images given a prompt. The recently developed SAM 2 has extended this ability to video inputs. This opens an opportunity to apply SAM to 3D images, one of the fundamental tasks in the medical imaging field. In this paper, we extensively evaluate SAM 2's ability to segment both 2D and 3D medical images by first collecting 21 medical imaging datasets, including surgical videos, common 3D modalities such as computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) as well as 2D modalities such as X-ray and ultrasound. Two evaluation settings of SAM 2 are considered: (1) multi-frame 3D segmentation, where prompts are provided to one or multiple slice(s) selected from the volume, and (2) single-frame 2D segmentation, where prompts are provided to each slice. The former only applies to videos and 3D modalities, while the latter applies to all datasets. Our results show that SAM 2 exhibits similar performance as SAM under single-frame 2D segmentation, and has variable performance under multi-frame 3D segmentation depending on the choices of slices to annotate, the direction of the propagation, the predictions utilized during the propagation, etc. We believe our work enhances the understanding of SAM 2's behavior in the medical field and provides directions for future work in adapting SAM 2 to this domain. Our code is available at: https://github.com/mazurowski-lab/segment-anything2-medical-evaluation.

Zafer Yildiz, Yuwen Chen, Maciej A. Mazurowski

Creating annotations for 3D medical data is time-consuming and often requires highly specialized expertise. Various tools have been implemented to aid this process. Segment Anything Model 2 (SAM 2) offers a general-purpose prompt-based segmentation algorithm designed to annotate videos. In this paper, we adapt this model to the annotation of 3D medical images and offer our implementation in the form of an extension to the popular annotation software: 3D Slicer. Our extension allows users to place point prompts on 2D slices to generate annotation masks and propagate these annotations across entire volumes in either single-directional or bi-directional manners. Our code is publicly available on https://github.com/mazurowski-lab/SlicerSegmentWithSAM and can be easily installed directly from the Extension Manager of 3D Slicer as well.

Helen Zhou, Yuwen Chen, Zachary C. Lipton

Machine learning models deployed in healthcare systems face data drawn from continually evolving environments. However, researchers proposing such models typically evaluate them in a time-agnostic manner, with train and test splits sampling patients throughout the entire study period. We introduce the Evaluation on Medical Datasets Over Time (EMDOT) framework and Python package, which evaluates the performance of a model class over time. Across five medical datasets and a variety of models, we compare two training strategies: (1) using all historical data, and (2) using a window of the most recent data. We note changes in performance over time, and identify possible explanations for these shocks.

Yuwen Chen, Helen Zhou, Zachary C. Lipton

Medical imaging data is often siloed within hospitals, limiting the amount of data available for specialized model development. With limited in-domain data, one might hope to leverage larger datasets from related domains. In this paper, we analyze the benefit of transferring self-supervised contrastive representations from moment contrast (MoCo) pretraining on out-of-distribution data to settings with limited data. We consider two X-ray datasets which image different parts of the body, and compare transferring from each other to transferring from ImageNet. We find that depending on quantity of labeled and unlabeled data, contrastive pretraining on larger out-of-distribution datasets can perform nearly as well or better than MoCo pretraining in-domain, and pretraining on related domains leads to higher performance than if one were to use the ImageNet pretrained weights. Finally, we provide a preliminary way of quantifying similarity between datasets.

Hui Su, Xiao Zhou, Houjin Yu et al.

Large Language Models pre-trained with self-supervised learning have demonstrated impressive zero-shot generalization capabilities on a wide spectrum of tasks. In this work, we present WeLM: a well-read pre-trained language model for Chinese that is able to seamlessly perform different types of tasks with zero or few-shot demonstrations. WeLM is trained with 10B parameters by "reading" a curated high-quality corpus covering a wide range of topics. We show that WeLM is equipped with broad knowledge on various domains and languages. On 18 monolingual (Chinese) tasks, WeLM can significantly outperform existing pre-trained models with similar sizes and match the performance of models up to 25 times larger. WeLM also exhibits strong capabilities in multi-lingual and code-switching understanding, outperforming existing multilingual language models pre-trained on 30 languages. Furthermore, We collected human-written prompts for a large set of supervised datasets in Chinese and fine-tuned WeLM with multi-prompted training. The resulting model can attain strong generalization on unseen types of tasks and outperform the unsupervised WeLM in zero-shot learning. Finally, we demonstrate that WeLM has basic skills at explaining and calibrating the decisions from itself, which can be promising directions for future research. Our models can be applied from https://welm.weixin.qq.com/docs/api/.

Nicholas Konz, Yuwen Chen, Haoyu Dong et al.

Diffusion models have enabled remarkably high-quality medical image generation, yet it is challenging to enforce anatomical constraints in generated images. To this end, we propose a diffusion model-based method that supports anatomically-controllable medical image generation, by following a multi-class anatomical segmentation mask at each sampling step. We additionally introduce a random mask ablation training algorithm to enable conditioning on a selected combination of anatomical constraints while allowing flexibility in other anatomical areas. We compare our method ("SegGuidedDiff") to existing methods on breast MRI and abdominal/neck-to-pelvis CT datasets with a wide range of anatomical objects. Results show that our method reaches a new state-of-the-art in the faithfulness of generated images to input anatomical masks on both datasets, and is on par for general anatomical realism. Finally, our model also enjoys the extra benefit of being able to adjust the anatomical similarity of generated images to real images of choice through interpolation in its latent space. SegGuidedDiff has many applications, including cross-modality translation, and the generation of paired or counterfactual data. Our code is available at https://github.com/mazurowski-lab/segmentation-guided-diffusion.

Shengbo Wang, Mingwei Liu, Guangsheng Ou et al.

Automated C-to-Rust migration encounters systemic obstacles when scaling from code snippets to industrial projects, mainly because build context is often unavailable ("dependency hell") and domain-specific evolutionary knowledge is missing. As a result, current LLM-based methods frequently cannot reconstruct precise type definitions under complex build systems or infer idiomatic API correspondences, which in turn leads to hallucinated dependencies and unproductive repair loops.To tackle these issues, we introduce His2Trans, a framework that combines a deterministic, build-aware skeleton with self-evolving knowledge extraction to support stable, incremental migration. On the structural side, His2Trans performs build tracing to create a compilable Project-Level Skeleton Graph, providing a strictly typed environment that separates global verification from local logic generation. On the cognitive side, it derives fine-grained API and code-fragment rules from historical migration traces and uses a Retrieval-Augmented Generation (RAG) system to steer the LLM toward idiomatic interface reuse.Experiments on industrial OpenHarmony modules show that His2Trans reaches a 97.51% incremental compilation pass rate, effectively fixing build failures where baselines struggle. On general-purpose benchmarks, it reduces the unsafe code ratio by 25.23 percentage points compared with C2Rust while also lowering warning counts, although cross-domain functional correctness remains challenging. Finally, knowledge accumulation studies demonstrate the framework's evolutionary behavior: by continuously integrating verified patterns, His2Trans cuts repair overhead on unseen tasks by about 60%.

Hanxue Gu, Roy Colglazier, Haoyu Dong et al.

Magnetic Resonance Imaging (MRI) is pivotal in radiology, offering non-invasive and high-quality insights into the human body. Precise segmentation of MRIs into different organs and tissues would be highly beneficial since it would allow for a higher level of understanding of the image content and enable important measurements, which are essential for accurate diagnosis and effective treatment planning. Specifically, segmenting bones in MRI would allow for more quantitative assessments of musculoskeletal conditions, while such assessments are largely absent in current radiological practice. The difficulty of bone MRI segmentation is illustrated by the fact that limited algorithms are publicly available for use, and those contained in the literature typically address a specific anatomic area. In our study, we propose a versatile, publicly available deep-learning model for bone segmentation in MRI across multiple standard MRI locations. The proposed model can operate in two modes: fully automated segmentation and prompt-based segmentation. Our contributions include (1) collecting and annotating a new MRI dataset across various MRI protocols, encompassing over 300 annotated volumes and 8485 annotated slices across diverse anatomic regions; (2) investigating several standard network architectures and strategies for automated segmentation; (3) introducing SegmentAnyBone, an innovative foundational model-based approach that extends Segment Anything Model (SAM); (4) comparative analysis of our algorithm and previous approaches; and (5) generalization analysis of our algorithm across different anatomical locations and MRI sequences, as well as an external dataset. We publicly release our model at https://github.com/mazurowski-lab/SegmentAnyBone.

Ke Niu, Zhuofan Chen, Haiyang Yu et al.

Computer-Aided Design (CAD) plays a pivotal role in industrial manufacturing. Orthographic projection reasoning underpins the entire CAD workflow, encompassing design, manufacturing, and simulation. However, prevailing deep-learning approaches employ standard 3D reconstruction pipelines as an alternative, which often introduce imprecise dimensions and limit the parametric editability required for CAD workflows. Recently, some researchers adopt vision-language models (VLMs), particularly supervised fine-tuning (SFT), to tackle CAD-related challenges. SFT shows promise but often devolves into pattern memorization, yielding poor out-of-distribution performance on complex reasoning tasks. To address these gaps, we introduce CReFT-CAD, a two-stage fine-tuning paradigm that first employs a curriculum-driven reinforcement learning stage with difficulty-aware rewards to build reasoning ability steadily, and then applies supervised post-tuning to hone instruction following and semantic extraction. Complementing this, we release TriView2CAD, the first large-scale, open-source benchmark for orthographic projection reasoning, comprising 200,000 synthetic and 3,000 real-world orthographic projections with precise dimension annotations and six interoperable data modalities. We benchmark leading VLMs on orthographic projection reasoning and demonstrate that CReFT-CAD substantially improves reasoning accuracy and out-of-distribution generalizability in real-world scenarios, offering valuable insights for advancing CAD reasoning research.

Teng Fu, Yuwen Chen, Zhuofan Chen et al.

Multi-object tracking is a classic field in computer vision. Among them, pedestrian tracking has extremely high application value and has become the most popular research category. Existing methods mainly use motion or appearance information for tracking, which is often difficult in complex scenarios. For the motion information, mutual occlusions between objects often prevent updating of the motion state; for the appearance information, non-robust results are often obtained due to reasons such as only partial visibility of the object or blurred images. Although learning how to perform tracking in these situations from the annotated data is the simplest solution, the existing MOT dataset fails to satisfy this solution. Existing methods mainly have two drawbacks: relatively simple scene composition and non-realistic scenarios. Although some of the video sequences in existing dataset do not have the above-mentioned drawbacks, the number is far from adequate for research purposes. To this end, we propose a difficult large-scale dataset for multi-pedestrian tracking, shot mainly from the first-person view and all from real-life complex scenarios. We name it ``CrowdTrack'' because there are numerous objects in most of the sequences. Our dataset consists of 33 videos, containing a total of 5,185 trajectories. Each object is annotated with a complete bounding box and a unique object ID. The dataset will provide a platform to facilitate the development of algorithms that remain effective in complex situations. We analyzed the dataset comprehensively and tested multiple SOTA models on our dataset. Besides, we analyzed the performance of the foundation models on our dataset. The dataset and project code is released at: https://github.com/loseevaya/CrowdTrack .

Ye Su, Hezhe Qiao, Di Wu et al.

The imputation of the Multivariate time series (MTS) is particularly challenging since the MTS typically contains irregular patterns of missing values due to various factors such as instrument failures, interference from irrelevant data, and privacy regulations. Existing statistical methods and deep learning methods have shown promising results in time series imputation. In this paper, we propose a Temporal Gaussian Copula Model (TGC) for three-order MTS imputation. The key idea is to leverage the Gaussian Copula to explore the cross-variable and temporal relationships based on the latent Gaussian representation. Subsequently, we employ an Expectation-Maximization (EM) algorithm to improve robustness in managing data with varying missing rates. Comprehensive experiments were conducted on three real-world MTS datasets. The results demonstrate that our TGC substantially outperforms the state-of-the-art imputation methods. Additionally, the TGC model exhibits stronger robustness to the varying missing ratios in the test dataset. Our code is available at https://github.com/MVL-Lab/TGC-MTS.

Di Kong, Yikai Wang, Wenjie Guo et al.

Slice-based volumetric imaging is widely applied and it demands representations that compress aggressively while preserving internal structure for analysis. We introduce GaussianPile, unifying 3D Gaussian splatting with an imaging system-aware focus model to address this challenge. Our proposed method introduces three key innovations: (i) a slice-aware piling strategy that positions anisotropic 3D Gaussians to model through-slice contributions, (ii) a differentiable projection operator that encodes the finite-thickness point spread function of the imaging acquisition system, and (iii) a compact encoding and joint optimization pipeline that simultaneously reconstructs and compresses the Gaussian sets. Our CUDA-based design retains the compression and real-time rendering efficiency of Gaussian primitives while preserving high-frequency internal volumetric detail. Experiments on microscopy and ultrasound datasets demonstrate that our method reduces storage and reconstruction cost, sustains diagnostic fidelity, and enables fast 2D visualization, along with 3D voxelization. In practice, it delivers high-quality results in as few as 3 minutes, up to 11x faster than NeRF-based approaches, and achieves consistent 16x compression over voxel grids, offering a practical path to deployable compression and exploration of slice-based volumetric datasets.

Haoyu Dong, Yuwen Chen, Hanxue Gu et al.

The widespread use of Magnetic Resonance Imaging (MRI) in combination with deep learning shows promise for many high-impact automated diagnostic and prognostic tools. However, training new models requires large amounts of labeled data, a challenge due to high cost of precise annotations and data privacy. To address this issue, we introduce the MRI-CORE, a vision foundation model trained using more than 6 million slices from over 110 thousand MRI volumes across 18 body locations. Our experiments show notable improvements in performance over state-of-the-art methods in 13 data-restricted segmentation tasks, as well as in image classification, and zero-shot segmentation, showing the strong potential of MRI-CORE to enable data-efficient development of artificial intelligence models. We also present data on which strategies yield most useful foundation models and a novel analysis relating similarity between pre-training and downstream task data with transfer learning performance. Our model is publicly available with a permissive license.

Ke Niu, Yuwen Chen, Haiyang Yu et al.

Computer-Aided Design (CAD) plays a pivotal role in industrial manufacturing, yet 2D Parametric Primitive Analysis (PPA) remains underexplored due to two key challenges: structural constraint reasoning and advanced semantic understanding. To tackle these challenges, we first propose an Efficient Hybrid Parametrization (EHP) for better representing 2D engineering drawings. EHP contains four types of atomic component i.e., point, line, circle, and arc). Additionally, we propose PHT-CAD, a novel 2D PPA framework that harnesses the modality alignment and reasoning capabilities of Vision-Language Models (VLMs) for precise engineering drawing analysis. In PHT-CAD, we introduce four dedicated regression heads to predict corresponding atomic components. To train PHT-CAD, a three-stage training paradigm Progressive Hierarchical Tuning (PHT) is proposed to progressively enhance PHT-CAD's capability to perceive individual primitives, infer structural constraints, and align annotation layers with their corresponding geometric representations. Considering that existing datasets lack complete annotation layers and real-world engineering drawings, we introduce ParaCAD, the first large-scale benchmark that explicitly integrates both the geometric and annotation layers. ParaCAD comprises over 10 million annotated drawings for training and 3,000 real-world industrial drawings with complex topological structures and physical constraints for test. Extensive experiments demonstrate the effectiveness of PHT-CAD and highlight the practical significance of ParaCAD in advancing 2D PPA research.

Nicholas Konz, Yuwen Chen, Hanxue Gu et al.

Modern medical image translation methods use generative models for tasks such as the conversion of CT images to MRI. Evaluating these methods typically relies on some chosen downstream task in the target domain, such as segmentation. On the other hand, task-agnostic metrics are attractive, such as the network feature-based perceptual metrics (e.g., FID) that are common to image translation in general computer vision. In this paper, we investigate evaluation metrics for medical image translation on two medical image translation tasks (GE breast MRI to Siemens breast MRI and lumbar spine MRI to CT), tested on various state-of-the-art translation methods. We show that perceptual metrics do not generally correlate with segmentation metrics due to them extending poorly to the anatomical constraints of this sub-field, with FID being especially inconsistent. However, we find that the lesser-used pixel-level SWD metric may be useful for subtle intra-modality translation. Our results demonstrate the need for further research into helpful metrics for medical image translation.

Yaqian Chen, Hanxue Gu, Yuwen Chen et al.

Body composition assessment using CT images can potentially be used for a number of clinical applications, including the prognostication of cardiovascular outcomes, evaluation of metabolic health, monitoring of disease progression, assessment of nutritional status, prediction of treatment response in oncology, and risk stratification for surgical and critical care outcomes. While multiple groups have developed in-house segmentation tools for this analysis, there are very limited publicly available tools that could be consistently used across different applications. To mitigate this gap, we present a publicly accessible, end-to-end segmentation and feature calculation model specifically for CT body composition analysis. Our model performs segmentation of skeletal muscle, subcutaneous adipose tissue (SAT), and visceral adipose tissue (VAT) across the chest, abdomen, and pelvis area in axial CT images. It also provides various body composition metrics, including muscle density, visceral-to-subcutaneous fat (VAT/SAT) ratio, muscle area/volume, and skeletal muscle index (SMI), supporting both 2D and 3D assessments. To evaluate the model, the segmentation was applied to both internal and external datasets, with body composition metrics analyzed across different age, sex, and race groups. The model achieved high dice coefficients on both internal and external datasets, exceeding 89% for skeletal muscle, SAT, and VAT segmentation. The model outperforms the benchmark by 2.40% on skeletal muscle and 10.26% on SAT compared to the manual annotations given by the publicly available dataset. Body composition metrics show mean relative absolute errors (MRAEs) under 10% for all measures. Furthermore, the model provided muscular fat segmentation with a Dice coefficient of 56.27%, which can be utilized for additional analyses as needed.

Yuwen Chen, Nicholas Konz, Hanxue Gu et al.

Preserving object structure through image-to-image translation is crucial, particularly in applications such as medical imaging (e.g., CT-to-MRI translation), where downstream clinical and machine learning applications will often rely on such preservation. However, typical image-to-image translation algorithms prioritize perceptual quality with respect to output domain features over the preservation of anatomical structures. To address these challenges, we first introduce a novel metric to quantify the structural bias between domains which must be considered for proper translation. We then propose ContourDiff, a novel image-to-image translation algorithm that leverages domain-invariant anatomical contour representations of images to preserve the anatomical structures during translation. These contour representations are simple to extract from images, yet form precise spatial constraints on their anatomical content. ContourDiff applies an input image contour representation as a constraint at every sampling step of a diffusion model trained in the output domain, ensuring anatomical content preservation for the output image. We evaluate our method on challenging lumbar spine and hip-and-thigh CT-to-MRI translation tasks, via (1) the performance of segmentation models trained on translated images applied to real MRIs, and (2) the foreground FID and KID of translated images with respect to real MRIs. Our method outperforms other unpaired image translation methods by a significant margin across almost all metrics and scenarios. Moreover, it achieves this without the need to access any input domain information during training.

Yaqian Chen, Hanxue Gu, Haoyu Dong et al.

Accurately registering breast MR images from different time points enables the alignment of anatomical structures and tracking of tumor progression, supporting more effective breast cancer detection, diagnosis, and treatment planning. However, the complexity of dense tissue and its highly non-rigid nature pose challenges for conventional registration methods, which primarily focus on aligning general structures while overlooking intricate internal details. To address this, we propose \textbf{GuidedMorph}, a novel two-stage registration framework designed to better align dense tissue. In addition to a single-scale network for global structure alignment, we introduce a framework that utilizes dense tissue information to track breast movement. The learned transformation fields are fused by introducing the Dual Spatial Transformer Network (DSTN), improving overall alignment accuracy. A novel warping method based on the Euclidean distance transform (EDT) is also proposed to accurately warp the registered dense tissue and breast masks, preserving fine structural details during deformation. The framework supports paradigms that require external segmentation models and with image data only. It also operates effectively with the VoxelMorph and TransMorph backbones, offering a versatile solution for breast registration. We validate our method on ISPY2 and internal dataset, demonstrating superior performance in dense tissue, overall breast alignment, and breast structural similarity index measure (SSIM), with notable improvements by over 13.01% in dense tissue Dice, 3.13% in breast Dice, and 1.21% in breast SSIM compared to the best learning-based baseline.

Yuwen Chen, Zafer Yildiz, Qihang Li et al.

Manual annotation of volumetric medical images, such as magnetic resonance imaging (MRI) and computed tomography (CT), is a labor-intensive and time-consuming process. Recent advancements in foundation models for video object segmentation, such as Segment Anything Model 2 (SAM 2), offer a potential opportunity to significantly speed up the annotation process by manually annotating one or a few slices and then propagating target masks across the entire volume. However, the performance of SAM 2 in this context varies. Our experiments show that relying on a single memory bank and attention module is prone to error propagation, particularly at boundary regions where the target is present in the previous slice but absent in the current one. To address this problem, we propose Short-Long Memory SAM 2 (SLM-SAM 2), a novel architecture that integrates distinct short-term and long-term memory banks with separate attention modules to improve segmentation accuracy. We evaluate SLM-SAM 2 on four public datasets covering organs, bones, and muscles across MRI, CT, and ultrasound videos. We show that the proposed method markedly outperforms the default SAM 2, achieving an average Dice Similarity Coefficient improvement of 0.14 and 0.10 in the scenarios when 5 volumes and 1 volume are available for the initial adaptation, respectively. SLM-SAM 2 also exhibits stronger resistance to over-propagation, reducing the time required to correct propagated masks by 60.575% per volume compared to SAM 2, making a notable step toward more accurate automated annotation of medical images for segmentation model development.

Nicholas Konz, Richard Osuala, Preeti Verma et al.

Determining whether two sets of images belong to the same or different distributions or domains is a crucial task in modern medical image analysis and deep learning; for example, to evaluate the output quality of image generative models. Currently, metrics used for this task either rely on the (potentially biased) choice of some downstream task, such as segmentation, or adopt task-independent perceptual metrics (e.g., Fréchet Inception Distance/FID) from natural imaging, which we show insufficiently capture anatomical features. To this end, we introduce a new perceptual metric tailored for medical images, FRD (Fréchet Radiomic Distance), which utilizes standardized, clinically meaningful, and interpretable image features. We show that FRD is superior to other image distribution metrics for a range of medical imaging applications, including out-of-domain (OOD) detection, the evaluation of image-to-image translation (by correlating more with downstream task performance as well as anatomical consistency and realism), and the evaluation of unconditional image generation. Moreover, FRD offers additional benefits such as stability and computational efficiency at low sample sizes, sensitivity to image corruptions and adversarial attacks, feature interpretability, and correlation with radiologist-perceived image quality. Additionally, we address key gaps in the literature by presenting an extensive framework for the multifaceted evaluation of image similarity metrics in medical imaging -- including the first large-scale comparative study of generative models for medical image translation -- and release an accessible codebase to facilitate future research. Our results are supported by thorough experiments spanning a variety of datasets, modalities, and downstream tasks, highlighting the broad potential of FRD for medical image analysis.

Jisoo Lee, Michael R. Harowicz, Yuwen Chen et al.

This study evaluates publicly available deep-learning based lung segmentation models in transplant-eligible patients to determine their performance across disease severity levels, pathology categories, and lung sides, and to identify limitations impacting their use in preoperative planning in lung transplantation. This retrospective study included 32 patients who underwent chest CT scans at Duke University Health System between 2017 and 2019 (total of 3,645 2D axial slices). Patients with standard axial CT scans were selected based on the presence of two or more lung pathologies of varying severity. Lung segmentation was performed using three previously developed deep learning models: Unet-R231, TotalSegmentator, MedSAM. Performance was assessed using quantitative metrics (volumetric similarity, Dice similarity coefficient, Hausdorff distance) and a qualitative measure (four-point clinical acceptability scale). Unet-R231 consistently outperformed TotalSegmentator and MedSAM in general, for different severity levels, and pathology categories (p<0.05). All models showed significant performance declines from mild to moderate-to-severe cases, particularly in volumetric similarity (p<0.05), without significant differences among lung sides or pathology types. Unet-R231 provided the most accurate automated lung segmentation among evaluated models with TotalSegmentator being a close second, though their performance declined significantly in moderate-to-severe cases, emphasizing the need for specialized model fine-tuning in severe pathology contexts.

Qihang Li, Jichen Yang, Yaqian Chen et al.

Breast MRI provides high-resolution imaging critical for breast cancer screening and preoperative staging. However, existing segmentation methods for breast MRI remain limited in scope, often focusing on only a few anatomical structures, such as fibroglandular tissue or tumors, and do not cover the full range of tissues seen in scans. This narrows their utility for quantitative analysis. In this study, we present BreastSegNet, a multi-label segmentation algorithm for breast MRI that covers nine anatomical labels: fibroglandular tissue (FGT), vessel, muscle, bone, lesion, lymph node, heart, liver, and implant. We manually annotated a large set of 1123 MRI slices capturing these structures with detailed review and correction from an expert radiologist. Additionally, we benchmark nine segmentation models, including U-Net, SwinUNet, UNet++, SAM, MedSAM, and nnU-Net with multiple ResNet-based encoders. Among them, nnU-Net ResEncM achieves the highest average Dice scores of 0.694 across all labels. It performs especially well on heart, liver, muscle, FGT, and bone, with Dice scores exceeding 0.73, and approaching 0.90 for heart and liver. All model code and weights are publicly available, and we plan to release the data at a later date.

Roy Colglazier, Jisoo Lee, Haoyu Dong et al.

The quantity and quality of muscles are increasingly recognized as important predictors of health outcomes. While MRI offers a valuable modality for such assessments, obtaining precise quantitative measurements of musculature remains challenging. This study aimed to develop a publicly available model for muscle segmentation in MRIs and demonstrate its applicability across various anatomical locations and imaging sequences. A total of 362 MRIs from 160 patients at a single tertiary center (Duke University Health System, 2016-2020) were included, with 316 MRIs from 114 patients used for model development. The model was tested on two separate sets: one with 28 MRIs representing common sequence types, achieving an average Dice Similarity Coefficient (DSC) of 88.45%, and another with 18 MRIs featuring less frequent sequences and abnormalities such as muscular atrophy, hardware, and significant noise, achieving 86.21% DSC. These results demonstrate the feasibility of a fully automated deep learning algorithm for segmenting muscles on MRI across diverse settings. The public release of this model enables consistent, reproducible research into the relationship between musculature and health.

Xin Yuan, Ning Li, Tuo Zhang et al.

Splitting the inference model between device, edge server, and cloud can improve the performance of EI greatly. Additionally, the non-orthogonal multiple access (NOMA), which is the key supporting technologies of B5G/6G, can achieve massive connections and high spectrum efficiency. Motivated by the benefits of NOMA, integrating NOMA with model split in MEC to reduce the inference latency further becomes attractive. However, the NOMA based communication during split inference has not been properly considered in previous works. Therefore, in this paper, we integrate the NOMA into split inference in MEC, and propose the effective communication and computing resource allocation algorithm to accelerate the model inference at edge. Specifically, when the mobile user has a large model inference task needed to be calculated in the NOMA-based MEC, it will take the energy consumption of both device and edge server and the inference latency into account to find the optimal model split strategy, subchannel allocation strategy (uplink and downlink), and transmission power allocation strategy (uplink and downlink). Since the minimum inference delay and energy consumption cannot be satisfied simultaneously, and the variables of subchannel allocation and model split are discrete, the gradient descent (GD) algorithm is adopted to find the optimal tradeoff between them. Moreover, the loop iteration GD approach (Li-GD) is proposed to reduce the complexity of GD algorithm that caused by the parameter discrete. Additionally, the properties of the proposed algorithm are also investigated, which demonstrate the effectiveness of the proposed algorithms.

Helen Zhou, Yuwen Chen, Zachary C. Lipton

Machine learning (ML) models deployed in healthcare systems must face data drawn from continually evolving environments. However, researchers proposing such models typically evaluate them in a time-agnostic manner, splitting datasets according to patients sampled randomly throughout the entire study time period. This work proposes the Evaluation on Medical Datasets Over Time (EMDOT) framework, which evaluates the performance of a model class across time. Inspired by the concept of backtesting, EMDOT simulates possible training procedures that practitioners might have been able to execute at each point in time and evaluates the resulting models on all future time points. Evaluating both linear and more complex models on six distinct medical data sources (tabular and imaging), we show how depending on the dataset, using all historical data may be ideal in many cases, whereas using a window of the most recent data could be advantageous in others. In datasets where models suffer from sudden degradations in performance, we investigate plausible explanations for these shocks. We release the EMDOT package to help facilitate further works in deployment-oriented evaluation over time.

Yuwen Chen, Antonio Orvieto, Aurelien Lucchi

Derivative-free optimization (DFO) has recently gained a lot of momentum in machine learning, spawning interest in the community to design faster methods for problems where gradients are not accessible. While some attention has been given to the concept of acceleration in the DFO literature, existing stochastic algorithms for objective functions with a finite-sum structure have not been shown theoretically to achieve an accelerated rate of convergence. Algorithms that use acceleration in such a setting are prone to instabilities, making it difficult to reach convergence. In this work, we exploit the finite-sum structure of the objective in order to design a variance-reduced DFO algorithm that provably yields acceleration. We prove rates of convergence for both smooth convex and strongly-convex finite-sum objective functions. Finally, we validate our theoretical results empirically on several tasks and datasets.