Changlu Guo

Changlu Guo

White Matter Hyperintensity (WMH) is an imaging feature related to various diseases such as dementia and stroke. Accurately segmenting WMH using computer technology is crucial for early disease diagnosis. However, this task remains challenging due to the small lesions with low contrast and high discontinuity in the images, which contain limited contextual and spatial information. To address this challenge, we propose a deep learning model called 3D Spatial Attention U-Net (3D SA-UNet) for automatic WMH segmentation using only Fluid Attenuation Inversion Recovery (FLAIR) scans. The 3D SA-UNet introduces a 3D Spatial Attention Module that highlights important lesion features, such as WMH, while suppressing unimportant regions. Additionally, to capture features at different scales, we extend the Atrous Spatial Pyramid Pooling (ASPP) module to a 3D version, enhancing the segmentation performance of the network. We evaluate our method on publicly available dataset and demonstrate the effectiveness of 3D spatial attention module and 3D ASPP in WMH segmentation. Through experimental results, it has been demonstrated that our proposed 3D SA-UNet model achieves higher accuracy compared to other state-of-the-art 3D convolutional neural networks.

Changlu Guo, Anders Nymark Christensen, Morten Rieger Hannemose

Text-to-image generative models have achieved remarkable breakthroughs in recent years. However, their application in medical image generation still faces significant challenges, including small dataset sizes, and scarcity of medical textual data. To address these challenges, we propose Med-Art, a framework specifically designed for medical image generation with limited data. Med-Art leverages vision-language models to generate visual descriptions of medical images which overcomes the scarcity of applicable medical textual data. Med-Art adapts a large-scale pre-trained text-to-image model, PixArt-$α$, based on the Diffusion Transformer (DiT), achieving high performance under limited data. Furthermore, we propose an innovative Hybrid-Level Diffusion Fine-tuning (HLDF) method, which enables pixel-level losses, effectively addressing issues such as overly saturated colors. We achieve state-of-the-art performance on two medical image datasets, measured by FID, KID, and downstream classification performance.

Changlu Guo, Anders Nymark Christensen, Anders Bjorholm Dahl et al.

Visual counterfactual explanations aim to reveal the minimal semantic modifications that can alter a model's prediction, providing causal and interpretable insights into deep neural networks. However, existing diffusion-based counterfactual generation methods are often computationally expensive, slow to sample, and imprecise in localizing the modified regions. To address these limitations, we propose MaskDiME, a simple, fast, and effective diffusion framework that unifies semantic consistency and spatial precision through localized sampling. Our approach adaptively focuses on decision-relevant regions to achieve localized and semantically consistent counterfactual generation while preserving high image fidelity. Our training-free framework, MaskDiME, achieves over 30x faster inference than the baseline method and achieves comparable or state-of-the-art performance across five benchmark datasets spanning diverse visual domains, establishing a practical and generalizable solution for efficient counterfactual explanation.

Changlu Guo, Anders Nymark Christensen, Anders Bjorholm Dahl et al.

Retinal vessel segmentation is essential for early diagnosis of diseases such as diabetic retinopathy, hypertension, and neurodegenerative disorders. Although SA-UNet introduces spatial attention in the bottleneck, it underuses attention in skip connections and does not address the severe foreground-background imbalance. We propose SA-UNetv2, a lightweight model that injects cross-scale spatial attention into all skip connections to strengthen multi-scale feature fusion and adopts a weighted Binary Cross-Entropy (BCE) plus Matthews Correlation Coefficient (MCC) loss to improve robustness to class imbalance. On the public DRIVE and STARE datasets, SA-UNetv2 achieves state-of-the-art performance with only 1.2MB memory and 0.26M parameters (less than 50% of SA-UNet), and 1 second CPU inference on 592 x 592 x 3 images, demonstrating strong efficiency and deployability in resource-constrained, CPU-only settings.

Changlu Guo, Jiangyan Dai, Marton Szemenyei et al.

Skin cancer is a frequently occurring cancer in the human population, and it is very important to be able to diagnose malignant tumors in the body early. Lesion segmentation is crucial for monitoring the morphological changes of skin lesions, extracting features to localize and identify diseases to assist doctors in early diagnosis. Manual de-segmentation of dermoscopic images is error-prone and time-consuming, thus there is a pressing demand for precise and automated segmentation algorithms. Inspired by advanced mechanisms such as U-Net, DenseNet, Separable Convolution, Channel Attention, and Atrous Spatial Pyramid Pooling (ASPP), we propose a novel network called Channel Attention Separable Convolution Network (CASCN) for skin lesions segmentation. The proposed CASCN is evaluated on the PH2 dataset with limited images. Without excessive pre-/post-processing of images, CASCN achieves state-of-the-art performance on the PH2 dataset with Dice similarity coefficient of 0.9461 and accuracy of 0.9645.

Ellák Somfai, Benjámin Baffy, Kristian Fenech et al.

Our goal is to bridge human and machine intelligence in melanoma detection. We develop a classification system exploiting a combination of visual pre-processing, deep learning, and ensembling for providing explanations to experts and to minimize false negative rate while maintaining high accuracy in melanoma detection. Source images are first automatically segmented using a U-net CNN. The result of the segmentation is then used to extract image sub-areas and specific parameters relevant in human evaluation, namely center, border, and asymmetry measures. These data are then processed by tailored neural networks which include structure searching algorithms. Partial results are then ensembled by a committee machine. Our evaluation on the largest skin lesion dataset which is publicly available today, ISIC-2019, shows improvement in all evaluated metrics over a baseline using the original images only. We also showed that indicative scores computed by the feature classifiers can provide useful insight into the various features on which the decision can be based.

Changlu Guo, Márton Szemenyei, Yugen Yi et al.

Reliable segmentation of retinal vessels can be employed as a way of monitoring and diagnosing certain diseases, such as diabetes and hypertension, as they affect the retinal vascular structure. In this work, we propose the Residual Spatial Attention Network (RSAN) for retinal vessel segmentation. RSAN employs a modified residual block structure that integrates DropBlock, which can not only be utilized to construct deep networks to extract more complex vascular features, but can also effectively alleviate the overfitting. Moreover, in order to further improve the representation capability of the network, based on this modified residual block, we introduce the spatial attention (SA) and propose the Residual Spatial Attention Block (RSAB) to build RSAN. We adopt the public DRIVE and CHASE DB1 color fundus image datasets to evaluate the proposed RSAN. Experiments show that the modified residual structure and the spatial attention are effective in this work, and our proposed RSAN achieves the state-of-the-art performance.

Changlu Guo, Márton Szemenyei, Yangtao Hu et al.

Retinal vessel segmentation is a vital step for the diagnosis of many early eye-related diseases. In this work, we propose a new deep learning model, namely Channel Attention Residual U-Net (CAR-UNet), to accurately segment retinal vascular and non-vascular pixels. In this model, we introduced a novel Modified Efficient Channel Attention (MECA) to enhance the discriminative ability of the network by considering the interdependence between feature maps. On the one hand, we apply MECA to the "skip connections" in the traditional U-shaped networks, instead of simply copying the feature maps of the contracting path to the corresponding expansive path. On the other hand, we propose a Channel Attention Double Residual Block (CADRB), which integrates MECA into a residual structure as a core structure to construct the proposed CAR-UNet. The results show that our proposed CAR-UNet has reached the state-of-the-art performance on three publicly available retinal vessel datasets: DRIVE, CHASE DB1 and STARE.

Changlu Guo, Márton Szemenyei, Yugen Yi et al.

Retinal vessel segmentation plays an imaportant role in the field of retinal image analysis because changes in retinal vascular structure can aid in the diagnosis of diseases such as hypertension and diabetes. In recent research, numerous successful segmentation methods for fundus images have been proposed. But for other retinal imaging modalities, more research is needed to explore vascular extraction. In this work, we propose an efficient method to segment blood vessels in Scanning Laser Ophthalmoscopy (SLO) retinal images. Inspired by U-Net, "feature map reuse" and residual learning, we propose a deep dense residual network structure called DRNet. In DRNet, feature maps of previous blocks are adaptively aggregated into subsequent layers as input, which not only facilitates spatial reconstruction, but also learns more efficiently due to more stable gradients. Furthermore, we introduce DropBlock to alleviate the overfitting problem of the network. We train and test this model on the recent SLO public dataset. The results show that our method achieves the state-of-the-art performance even without data augmentation.

Changlu Guo, Márton Szemenyei, Yugen Yi et al.

The precise segmentation of retinal blood vessels is of great significance for early diagnosis of eye-related diseases such as diabetes and hypertension. In this work, we propose a lightweight network named Spatial Attention U-Net (SA-UNet) that does not require thousands of annotated training samples and can be utilized in a data augmentation manner to use the available annotated samples more efficiently. SA-UNet introduces a spatial attention module which infers the attention map along the spatial dimension, and multiplies the attention map by the input feature map for adaptive feature refinement. In addition, the proposed network employs structured dropout convolutional blocks instead of the original convolutional blocks of U-Net to prevent the network from overfitting. We evaluate SA-UNet based on two benchmark retinal datasets: the Vascular Extraction (DRIVE) dataset and the Child Heart and Health Study (CHASE_DB1) dataset. The results show that the proposed SA-UNet achieves state-of-the-art performance on both datasets.The implementation and the trained networks are available on Github1.