Huazhu Fu

Junde Wu, Wei Ji, Yuanpei Liu et al.

The Segment Anything Model (SAM) has recently gained popularity in the field of image segmentation due to its impressive capabilities in various segmentation tasks and its prompt-based interface. However, recent studies and individual experiments have shown that SAM underperforms in medical image segmentation, since the lack of the medical specific knowledge. This raises the question of how to enhance SAM's segmentation capability for medical images. In this paper, instead of fine-tuning the SAM model, we propose the Medical SAM Adapter (Med-SA), which incorporates domain-specific medical knowledge into the segmentation model using a light yet effective adaptation technique. In Med-SA, we propose Space-Depth Transpose (SD-Trans) to adapt 2D SAM to 3D medical images and Hyper-Prompting Adapter (HyP-Adpt) to achieve prompt-conditioned adaptation. We conduct comprehensive evaluation experiments on 17 medical image segmentation tasks across various image modalities. Med-SA outperforms several state-of-the-art (SOTA) medical image segmentation methods, while updating only 2\% of the parameters. Our code is released at https://github.com/KidsWithTokens/Medical-SAM-Adapter.

Zhaohu Xing, Liang Wan, Huazhu Fu et al.

In recent years, Denoising Diffusion Models have demonstrated remarkable success in generating semantically valuable pixel-wise representations for image generative modeling. In this study, we propose a novel end-to-end framework, called Diff-UNet, for medical volumetric segmentation. Our approach integrates the diffusion model into a standard U-shaped architecture to extract semantic information from the input volume effectively, resulting in excellent pixel-level representations for medical volumetric segmentation. To enhance the robustness of the diffusion model's prediction results, we also introduce a Step-Uncertainty based Fusion (SUF) module during inference to combine the outputs of the diffusion models at each step. We evaluate our method on three datasets, including multimodal brain tumors in MRI, liver tumors, and multi-organ CT volumes, and demonstrate that Diff-UNet outperforms other state-of-the-art methods significantly. Our experimental results also indicate the universality and effectiveness of the proposed model. The proposed framework has the potential to facilitate the accurate diagnosis and treatment of medical conditions by enabling more precise segmentation of anatomical structures. The codes of Diff-UNet are available at https://github.com/ge-xing/Diff-UNet

Xiaoxiao Liang, Yiqun Lin, Huazhu Fu et al.

Federated semi-supervised learning (FSSL) aims to derive a global model by training fully-labeled and fully-unlabeled clients or training partially labeled clients. The existing approaches work well when local clients have independent and identically distributed (IID) data but fail to generalize to a more practical FSSL setting, i.e., Non-IID setting. In this paper, we present a Random Sampling Consensus Federated learning, namely RSCFed, by considering the uneven reliability among models from fully-labeled clients, fully-unlabeled clients or partially labeled clients. Our key motivation is that given models with large deviations from either labeled clients or unlabeled clients, the consensus could be reached by performing random sub-sampling over clients. To achieve it, instead of directly aggregating local models, we first distill several sub-consensus models by random sub-sampling over clients and then aggregating the sub-consensus models to the global model. To enhance the robustness of sub-consensus models, we also develop a novel distance-reweighted model aggregation method. Experimental results show that our method outperforms state-of-the-art methods on three benchmarked datasets, including both natural and medical images. The code is available at https://github.com/XMed-Lab/RSCFed.

Yijun Yang, Huazhu Fu, Angelica I. Aviles-Rivero et al.

Diffusion Probabilistic Models have recently shown remarkable performance in generative image modeling, attracting significant attention in the computer vision community. However, while a substantial amount of diffusion-based research has focused on generative tasks, few studies have applied diffusion models to general medical image classification. In this paper, we propose the first diffusion-based model (named DiffMIC) to address general medical image classification by eliminating unexpected noise and perturbations in medical images and robustly capturing semantic representation. To achieve this goal, we devise a dual conditional guidance strategy that conditions each diffusion step with multiple granularities to improve step-wise regional attention. Furthermore, we propose learning the mutual information in each granularity by enforcing Maximum-Mean Discrepancy regularization during the diffusion forward process. We evaluate the effectiveness of our DiffMIC on three medical classification tasks with different image modalities, including placental maturity grading on ultrasound images, skin lesion classification using dermatoscopic images, and diabetic retinopathy grading using fundus images. Our experimental results demonstrate that DiffMIC outperforms state-of-the-art methods by a significant margin, indicating the universality and effectiveness of the proposed model. Our code will be publicly available at https://github.com/scott-yjyang/DiffMIC.

Peng Zheng, Huazhu Fu, Deng-Ping Fan et al.

In this paper, we present a novel end-to-end group collaborative learning network, termed GCoNet+, which can effectively and efficiently (250 fps) identify co-salient objects in natural scenes. The proposed GCoNet+ achieves the new state-of-the-art performance for co-salient object detection (CoSOD) through mining consensus representations based on the following two essential criteria: 1) intra-group compactness to better formulate the consistency among co-salient objects by capturing their inherent shared attributes using our novel group affinity module (GAM); 2) inter-group separability to effectively suppress the influence of noisy objects on the output by introducing our new group collaborating module (GCM) conditioning on the inconsistent consensus. To further improve the accuracy, we design a series of simple yet effective components as follows: i) a recurrent auxiliary classification module (RACM) promoting model learning at the semantic level; ii) a confidence enhancement module (CEM) assisting the model in improving the quality of the final predictions; and iii) a group-based symmetric triplet (GST) loss guiding the model to learn more discriminative features. Extensive experiments on three challenging benchmarks, i.e., CoCA, CoSOD3k, and CoSal2015, demonstrate that our GCoNet+ outperforms the existing 12 cutting-edge models. Code has been released at https://github.com/ZhengPeng7/GCoNet_plus.

Zhi Lin, Junhao Lin, Lei Zhu et al.

Breast lesion detection in ultrasound is critical for breast cancer diagnosis. Existing methods mainly rely on individual 2D ultrasound images or combine unlabeled video and labeled 2D images to train models for breast lesion detection. In this paper, we first collect and annotate an ultrasound video dataset (188 videos) for breast lesion detection. Moreover, we propose a clip-level and video-level feature aggregated network (CVA-Net) for addressing breast lesion detection in ultrasound videos by aggregating video-level lesion classification features and clip-level temporal features. The clip-level temporal features encode local temporal information of ordered video frames and global temporal information of shuffled video frames. In our CVA-Net, an inter-video fusion module is devised to fuse local features from original video frames and global features from shuffled video frames, and an intra-video fusion module is devised to learn the temporal information among adjacent video frames. Moreover, we learn video-level features to classify the breast lesions of the original video as benign or malignant lesions to further enhance the final breast lesion detection performance in ultrasound videos. Experimental results on our annotated dataset demonstrate that our CVA-Net clearly outperforms state-of-the-art methods. The corresponding code and dataset are publicly available at \url{https://github.com/jhl-Det/CVA-Net}.

Heng Li, Haofeng Liu, Huazhu Fu et al.

Fundus photography is a routine examination in clinics to diagnose and monitor ocular diseases. However, for cataract patients, the fundus image always suffers quality degradation caused by the clouding lens. The degradation prevents reliable diagnosis by ophthalmologists or computer-aided systems. To improve the certainty in clinical diagnosis, restoration algorithms have been proposed to enhance the quality of fundus images. Unfortunately, challenges remain in the deployment of these algorithms, such as collecting sufficient training data and preserving retinal structures. In this paper, to circumvent the strict deployment requirement, a structure-consistent restoration network (SCR-Net) for cataract fundus images is developed from synthesized data that shares an identical structure. A cataract simulation model is firstly designed to collect synthesized cataract sets (SCS) formed by cataract fundus images sharing identical structures. Then high-frequency components (HFCs) are extracted from the SCS to constrain structure consistency such that the structure preservation in SCR-Net is enforced. The experiments demonstrate the effectiveness of SCR-Net in the comparison with state-of-the-art methods and the follow-up clinical applications. The code is available at https://github.com/liamheng/ArcNet-Medical-Image-Enhancement.

Heng Li, Haojin Li, Wei Zhao et al.

The annotation scarcity of medical image segmentation poses challenges in collecting sufficient training data for deep learning models. Specifically, models trained on limited data may not generalize well to other unseen data domains, resulting in a domain shift issue. Consequently, domain generalization (DG) is developed to boost the performance of segmentation models on unseen domains. However, the DG setup requires multiple source domains, which impedes the efficient deployment of segmentation algorithms in clinical scenarios. To address this challenge and improve the segmentation model's generalizability, we propose a novel approach called the Frequency-mixed Single-source Domain Generalization method (FreeSDG). By analyzing the frequency's effect on domain discrepancy, FreeSDG leverages a mixed frequency spectrum to augment the single-source domain. Additionally, self-supervision is constructed in the domain augmentation to learn robust context-aware representations for the segmentation task. Experimental results on five datasets of three modalities demonstrate the effectiveness of the proposed algorithm. FreeSDG outperforms state-of-the-art methods and significantly improves the segmentation model's generalizability. Therefore, FreeSDG provides a promising solution for enhancing the generalization of medical image segmentation models, especially when annotated data is scarce. The code is available at https://github.com/liamheng/Non-IID_Medical_Image_Segmentation.

Haofeng Liu, Heng Li, Huazhu Fu et al.

As an economical and efficient fundus imaging modality, retinal fundus images have been widely adopted in clinical fundus examination. Unfortunately, fundus images often suffer from quality degradation caused by imaging interferences, leading to misdiagnosis. Despite impressive enhancement performances that state-of-the-art methods have achieved, challenges remain in clinical scenarios. For boosting the clinical deployment of fundus image enhancement, this paper proposes the pyramid constraint to develop a degradation-invariant enhancement network (PCE-Net), which mitigates the demand for clinical data and stably enhances unknown data. Firstly, high-quality images are randomly degraded to form sequences of low-quality ones sharing the same content (SeqLCs). Then individual low-quality images are decomposed to Laplacian pyramid features (LPF) as the multi-level input for the enhancement. Subsequently, a feature pyramid constraint (FPC) for the sequence is introduced to enforce the PCE-Net to learn a degradation-invariant model. Extensive experiments have been conducted under the evaluation metrics of enhancement and segmentation. The effectiveness of the PCE-Net was demonstrated in comparison with state-of-the-art methods and the ablation study. The source code of this study is publicly available at https://github.com/HeverLaw/PCENet-Image-Enhancement.

Chao Qin, Jiale Cao, Huazhu Fu et al.

Detecting breast lesion in videos is crucial for computer-aided diagnosis. Existing video-based breast lesion detection approaches typically perform temporal feature aggregation of deep backbone features based on the self-attention operation. We argue that such a strategy struggles to effectively perform deep feature aggregation and ignores the useful local information. To tackle these issues, we propose a spatial-temporal deformable attention based framework, named STNet. Our STNet introduces a spatial-temporal deformable attention module to perform local spatial-temporal feature fusion. The spatial-temporal deformable attention module enables deep feature aggregation in each stage of both encoder and decoder. To further accelerate the detection speed, we introduce an encoder feature shuffle strategy for multi-frame prediction during inference. In our encoder feature shuffle strategy, we share the backbone and encoder features, and shuffle encoder features for decoder to generate the predictions of multiple frames. The experiments on the public breast lesion ultrasound video dataset show that our STNet obtains a state-of-the-art detection performance, while operating twice as fast inference speed. The code and model are available at https://github.com/AlfredQin/STNet.

Huan Ma, Changqing Zhang, Yatao Bian et al. · tencent-ai

Large language models have demonstrated surprising ability to perform in-context learning, i.e., these models can be directly applied to solve numerous downstream tasks by conditioning on a prompt constructed by a few input-output examples. However, prior research has shown that in-context learning can suffer from high instability due to variations in training examples, example order, and prompt formats. Therefore, the construction of an appropriate prompt is essential for improving the performance of in-context learning. In this paper, we revisit this problem from the view of predictive bias. Specifically, we introduce a metric to evaluate the predictive bias of a fixed prompt against labels or a given attributes. Then we empirically show that prompts with higher bias always lead to unsatisfactory predictive quality. Based on this observation, we propose a novel search strategy based on the greedy search to identify the near-optimal prompt for improving the performance of in-context learning. We perform comprehensive experiments with state-of-the-art mainstream models such as GPT-3 on various downstream tasks. Our results indicate that our method can enhance the model's in-context learning performance in an effective and interpretable manner.

Marawan Elbatel, Hualiang Wang, Robert Martí et al.

In the medical field, federated learning commonly deals with highly imbalanced datasets, including skin lesions and gastrointestinal images. Existing federated methods under highly imbalanced datasets primarily focus on optimizing a global model without incorporating the intra-class variations that can arise in medical imaging due to different populations, findings, and scanners. In this paper, we study the inter-client intra-class variations with publicly available self-supervised auxiliary networks. Specifically, we find that employing a shared auxiliary pre-trained model, like MoCo-V2, locally on every client yields consistent divergence measurements. Based on these findings, we derive a dynamic balanced model aggregation via self-supervised priors (MAS) to guide the global model optimization. Fed-MAS can be utilized with different local learning methods for effective model aggregation toward a highly robust and unbiased global model. Our code is available at \url{https://github.com/xmed-lab/Fed-MAS}.

Junde Wu, Wei Ji, Huazhu Fu et al.

The Diffusion Probabilistic Model (DPM) has recently gained popularity in the field of computer vision, thanks to its image generation applications, such as Imagen, Latent Diffusion Models, and Stable Diffusion, which have demonstrated impressive capabilities and sparked much discussion within the community. Recent investigations have further unveiled the utility of DPM in the domain of medical image analysis, as underscored by the commendable performance exhibited by the medical image segmentation model across various tasks. Although these models were originally underpinned by a UNet architecture, there exists a potential avenue for enhancing their performance through the integration of vision transformer mechanisms. However, we discovered that simply combining these two models resulted in subpar performance. To effectively integrate these two cutting-edge techniques for the Medical image segmentation, we propose a novel Transformer-based Diffusion framework, called MedSegDiff-V2. We verify its effectiveness on 20 medical image segmentation tasks with different image modalities. Through comprehensive evaluation, our approach demonstrates superiority over prior state-of-the-art (SOTA) methodologies. Code is released at https://github.com/KidsWithTokens/MedSegDiff

Yijun Yang, Angelica I. Aviles-Rivero, Huazhu Fu et al. · salesforce

Although convolutional neural networks (CNNs) have been proposed to remove adverse weather conditions in single images using a single set of pre-trained weights, they fail to restore weather videos due to the absence of temporal information. Furthermore, existing methods for removing adverse weather conditions (e.g., rain, fog, and snow) from videos can only handle one type of adverse weather. In this work, we propose the first framework for restoring videos from all adverse weather conditions by developing a video adverse-weather-component suppression network (ViWS-Net). To achieve this, we first devise a weather-agnostic video transformer encoder with multiple transformer stages. Moreover, we design a long short-term temporal modeling mechanism for weather messenger to early fuse input adjacent video frames and learn weather-specific information. We further introduce a weather discriminator with gradient reversion, to maintain the weather-invariant common information and suppress the weather-specific information in pixel features, by adversarially predicting weather types. Finally, we develop a messenger-driven video transformer decoder to retrieve the residual weather-specific feature, which is spatiotemporally aggregated with hierarchical pixel features and refined to predict the clean target frame of input videos. Experimental results, on benchmark datasets and real-world weather videos, demonstrate that our ViWS-Net outperforms current state-of-the-art methods in terms of restoring videos degraded by any weather condition.

Meng Wang, Kai Yu, Chun-Mei Feng et al.

Focusing on the complicated pathological features, such as blurred boundaries, severe scale differences between symptoms, background noise interference, etc., in the task of retinal edema lesions joint segmentation from OCT images and enabling the segmentation results more reliable. In this paper, we propose a novel reliable multi-scale wavelet-enhanced transformer network, which can provide accurate segmentation results with reliability assessment. Specifically, aiming at improving the model's ability to learn the complex pathological features of retinal edema lesions in OCT images, we develop a novel segmentation backbone that integrates a wavelet-enhanced feature extractor network and a multi-scale transformer module of our newly designed. Meanwhile, to make the segmentation results more reliable, a novel uncertainty segmentation head based on the subjective logical evidential theory is introduced to generate the final segmentation results with a corresponding overall uncertainty evaluation score map. We conduct comprehensive experiments on the public database of AI-Challenge 2018 for retinal edema lesions segmentation, and the results show that our proposed method achieves better segmentation accuracy with a high degree of reliability as compared to other state-of-the-art segmentation approaches. The code will be released on: https://github.com/LooKing9218/ReliableRESeg.

Zongbo Han, Changqing Zhang, Huazhu Fu et al.

Existing multi-view classification algorithms focus on promoting accuracy by exploiting different views, typically integrating them into common representations for follow-up tasks. Although effective, it is also crucial to ensure the reliability of both the multi-view integration and the final decision, especially for noisy, corrupted and out-of-distribution data. Dynamically assessing the trustworthiness of each view for different samples could provide reliable integration. This can be achieved through uncertainty estimation. With this in mind, we propose a novel multi-view classification algorithm, termed trusted multi-view classification (TMC), providing a new paradigm for multi-view learning by dynamically integrating different views at an evidence level. The proposed TMC can promote classification reliability by considering evidence from each view. Specifically, we introduce the variational Dirichlet to characterize the distribution of the class probabilities, parameterized with evidence from different views and integrated with the Dempster-Shafer theory. The unified learning framework induces accurate uncertainty and accordingly endows the model with both reliability and robustness against possible noise or corruption. Both theoretical and experimental results validate the effectiveness of the proposed model in accuracy, robustness and trustworthiness.

Liang Gao, Huazhu Fu, Li Li et al.

Federated learning (FL) allows multiple clients to collectively train a high-performance global model without sharing their private data. However, the key challenge in federated learning is that the clients have significant statistical heterogeneity among their local data distributions, which would cause inconsistent optimized local models on the client-side. To address this fundamental dilemma, we propose a novel federated learning algorithm with local drift decoupling and correction (FedDC). Our FedDC only introduces lightweight modifications in the local training phase, in which each client utilizes an auxiliary local drift variable to track the gap between the local model parameter and the global model parameters. The key idea of FedDC is to utilize this learned local drift variable to bridge the gap, i.e., conducting consistency in parameter-level. The experiment results and analysis demonstrate that FedDC yields expediting convergence and better performance on various image classification tasks, robust in partial participation settings, non-iid data, and heterogeneous clients.

Xiaofeng Lei, Shaohua Li, Xinxing Xu et al.

Localizing anatomical landmarks are important tasks in medical image analysis. However, the landmarks to be localized often lack prominent visual features. Their locations are elusive and easily confused with the background, and thus precise localization highly depends on the context formed by their surrounding areas. In addition, the required precision is usually higher than segmentation and object detection tasks. Therefore, localization has its unique challenges different from segmentation or detection. In this paper, we propose a zoom-in attentive network (ZIAN) for anatomical landmark localization in ocular images. First, a coarse-to-fine, or "zoom-in" strategy is utilized to learn the contextualized features in different scales. Then, an attentive fusion module is adopted to aggregate multi-scale features, which consists of 1) a co-attention network with a multiple regions-of-interest (ROIs) scheme that learns complementary features from the multiple ROIs, 2) an attention-based fusion module which integrates the multi-ROIs features and non-ROI features. We evaluated ZIAN on two open challenge tasks, i.e., the fovea localization in fundus images and scleral spur localization in AS-OCT images. Experiments show that ZIAN achieves promising performances and outperforms state-of-the-art localization methods. The source code and trained models of ZIAN are available at https://github.com/leixiaofeng-astar/OMIA9-ZIAN.

Ke Zou, Zhihao Chen, Xuedong Yuan et al.

The use of AI systems in healthcare for the early screening of diseases is of great clinical importance. Deep learning has shown great promise in medical imaging, but the reliability and trustworthiness of AI systems limit their deployment in real clinical scenes, where patient safety is at stake. Uncertainty estimation plays a pivotal role in producing a confidence evaluation along with the prediction of the deep model. This is particularly important in medical imaging, where the uncertainty in the model's predictions can be used to identify areas of concern or to provide additional information to the clinician. In this paper, we review the various types of uncertainty in deep learning, including aleatoric uncertainty and epistemic uncertainty. We further discuss how they can be estimated in medical imaging. More importantly, we review recent advances in deep learning models that incorporate uncertainty estimation in medical imaging. Finally, we discuss the challenges and future directions in uncertainty estimation in deep learning for medical imaging. We hope this review will ignite further interest in the community and provide researchers with an up-to-date reference regarding applications of uncertainty estimation models in medical imaging.

Qingyang Zhang, Haitao Wu, Changqing Zhang et al.

The inherent challenge of multimodal fusion is to precisely capture the cross-modal correlation and flexibly conduct cross-modal interaction. To fully release the value of each modality and mitigate the influence of low-quality multimodal data, dynamic multimodal fusion emerges as a promising learning paradigm. Despite its widespread use, theoretical justifications in this field are still notably lacking. Can we design a provably robust multimodal fusion method? This paper provides theoretical understandings to answer this question under a most popular multimodal fusion framework from the generalization perspective. We proceed to reveal that several uncertainty estimation solutions are naturally available to achieve robust multimodal fusion. Then a novel multimodal fusion framework termed Quality-aware Multimodal Fusion (QMF) is proposed, which can improve the performance in terms of classification accuracy and model robustness. Extensive experimental results on multiple benchmarks can support our findings.

Meng Wang, Tian Lin, Lianyu Wang et al.

Failure to recognize samples from the classes unseen during training is a major limitation of artificial intelligence in the real-world implementation for recognition and classification of retinal anomalies. We established an uncertainty-inspired open-set (UIOS) model, which was trained with fundus images of 9 retinal conditions. Besides assessing the probability of each category, UIOS also calculated an uncertainty score to express its confidence. Our UIOS model with thresholding strategy achieved an F1 score of 99.55%, 97.01% and 91.91% for the internal testing set, external target categories (TC)-JSIEC dataset and TC-unseen testing set, respectively, compared to the F1 score of 92.20%, 80.69% and 64.74% by the standard AI model. Furthermore, UIOS correctly predicted high uncertainty scores, which would prompt the need for a manual check in the datasets of non-target categories retinal diseases, low-quality fundus images, and non-fundus images. UIOS provides a robust method for real-world screening of retinal anomalies.

Chun-Mei Feng, Bangjun Li, Xinxing Xu et al.

Federated Magnetic Resonance Imaging (MRI) reconstruction enables multiple hospitals to collaborate distributedly without aggregating local data, thereby protecting patient privacy. However, the data heterogeneity caused by different MRI protocols, insufficient local training data, and limited communication bandwidth inevitably impair global model convergence and updating. In this paper, we propose a new algorithm, FedPR, to learn federated visual prompts in the null space of global prompt for MRI reconstruction. FedPR is a new federated paradigm that adopts a powerful pre-trained model while only learning and communicating the prompts with few learnable parameters, thereby significantly reducing communication costs and achieving competitive performance on limited local data. Moreover, to deal with catastrophic forgetting caused by data heterogeneity, FedPR also updates efficient federated visual prompts that project the local prompts into an approximate null space of the global prompt, thereby suppressing the interference of gradients on the server performance. Extensive experiments on federated MRI show that FedPR significantly outperforms state-of-the-art FL algorithms with <6% of communication costs when given the limited amount of local training data.

Runmin Cong, Ning Yang, Chongyi Li et al.

The goal of co-salient object detection (CoSOD) is to discover salient objects that commonly appear in a query group containing two or more relevant images. Therefore, how to effectively extract inter-image correspondence is crucial for the CoSOD task. In this paper, we propose a global-and-local collaborative learning architecture, which includes a global correspondence modeling (GCM) and a local correspondence modeling (LCM) to capture comprehensive inter-image corresponding relationship among different images from the global and local perspectives. Firstly, we treat different images as different time slices and use 3D convolution to integrate all intra features intuitively, which can more fully extract the global group semantics. Secondly, we design a pairwise correlation transformation (PCT) to explore similarity correspondence between pairwise images and combine the multiple local pairwise correspondences to generate the local inter-image relationship. Thirdly, the inter-image relationships of the GCM and LCM are integrated through a global-and-local correspondence aggregation (GLA) module to explore more comprehensive inter-image collaboration cues. Finally, the intra- and inter-features are adaptively integrated by an intra-and-inter weighting fusion (AEWF) module to learn co-saliency features and predict the co-saliency map. The proposed GLNet is evaluated on three prevailing CoSOD benchmark datasets, demonstrating that our model trained on a small dataset (about 3k images) still outperforms eleven state-of-the-art competitors trained on some large datasets (about 8k-200k images).

Ke Zou, Xuedong Yuan, Xiaojing Shen et al.

Despite recent improvements in the accuracy of brain tumor segmentation, the results still exhibit low levels of confidence and robustness. Uncertainty estimation is one effective way to change this situation, as it provides a measure of confidence in the segmentation results. In this paper, we propose a trusted brain tumor segmentation network which can generate robust segmentation results and reliable uncertainty estimations without excessive computational burden and modification of the backbone network. In our method, uncertainty is modeled explicitly using subjective logic theory, which treats the predictions of backbone neural network as subjective opinions by parameterizing the class probabilities of the segmentation as a Dirichlet distribution. Meanwhile, the trusted segmentation framework learns the function that gathers reliable evidence from the feature leading to the final segmentation results. Overall, our unified trusted segmentation framework endows the model with reliability and robustness to out-of-distribution samples. To evaluate the effectiveness of our model in robustness and reliability, qualitative and quantitative experiments are conducted on the BraTS 2019 dataset.

Heng Li, Haofeng Liu, Yan Hu et al.

Cataracts are the leading cause of vision loss worldwide. Restoration algorithms are developed to improve the readability of cataract fundus images in order to increase the certainty in diagnosis and treatment for cataract patients. Unfortunately, the requirement of annotation limits the application of these algorithms in clinics. This paper proposes a network to annotation-freely restore cataractous fundus images (ArcNet) so as to boost the clinical practicability of restoration. Annotations are unnecessary in ArcNet, where the high-frequency component is extracted from fundus images to replace segmentation in the preservation of retinal structures. The restoration model is learned from the synthesized images and adapted to real cataract images. Extensive experiments are implemented to verify the performance and effectiveness of ArcNet. Favorable performance is achieved using ArcNet against state-of-the-art algorithms, and the diagnosis of ocular fundus diseases in cataract patients is promoted by ArcNet. The capability of properly restoring cataractous images in the absence of annotated data promises the proposed algorithm outstanding clinical practicability.

Jiaxin Mei, Tao Zhou, Kaiwen Huang et al.

Early detection and assessment of polyps play a crucial role in the prevention and treatment of colorectal cancer (CRC). Polyp segmentation provides an effective solution to assist clinicians in accurately locating and segmenting polyp regions. In the past, people often relied on manually extracted lower-level features such as color, texture, and shape, which often had issues capturing global context and lacked robustness to complex scenarios. With the advent of deep learning, more and more outstanding medical image segmentation algorithms based on deep learning networks have emerged, making significant progress in this field. This paper provides a comprehensive review of polyp segmentation algorithms. We first review some traditional algorithms based on manually extracted features and deep segmentation algorithms, then detail benchmark datasets related to the topic. Specifically, we carry out a comprehensive evaluation of recent deep learning models and results based on polyp sizes, considering the pain points of research topics and differences in network structures. Finally, we discuss the challenges of polyp segmentation and future trends in this field. The models, benchmark datasets, and source code links we collected are all published at https://github.com/taozh2017/Awesome-Polyp-Segmentation.

Liansheng Wang, Jiacheng Wang, Lei Zhu et al.

Automated detecting lung infections from computed tomography (CT) data plays an important role for combating COVID-19. However, there are still some challenges for developing AI system. 1) Most current COVID-19 infection segmentation methods mainly relied on 2D CT images, which lack 3D sequential constraint. 2) Existing 3D CT segmentation methods focus on single-scale representations, which do not achieve the multiple level receptive field sizes on 3D volume. 3) The emergent breaking out of COVID-19 makes it hard to annotate sufficient CT volumes for training deep model. To address these issues, we first build a multiple dimensional-attention convolutional neural network (MDA-CNN) to aggregate multi-scale information along different dimension of input feature maps and impose supervision on multiple predictions from different CNN layers. Second, we assign this MDA-CNN as a basic network into a novel dual multi-scale mean teacher network (DM${^2}$T-Net) for semi-supervised COVID-19 lung infection segmentation on CT volumes by leveraging unlabeled data and exploring the multi-scale information. Our DM${^2}$T-Net encourages multiple predictions at different CNN layers from the student and teacher networks to be consistent for computing a multi-scale consistency loss on unlabeled data, which is then added to the supervised loss on the labeled data from multiple predictions of MDA-CNN. Third, we collect two COVID-19 segmentation datasets to evaluate our method. The experimental results show that our network consistently outperforms the compared state-of-the-art methods.

Along He, Kai Wang, Tao Li et al.

Effectively integrating multi-scale information is of considerable significance for the challenging multi-class segmentation of fundus lesions because different lesions vary significantly in scales and shapes. Several methods have been proposed to successfully handle the multi-scale object segmentation. However, two issues are not considered in previous studies. The first is the lack of interaction between adjacent feature levels, and this will lead to the deviation of high-level features from low-level features and the loss of detailed cues. The second is the conflict between the low-level and high-level features, this occurs because they learn different scales of features, thereby confusing the model and decreasing the accuracy of the final prediction. In this paper, we propose a progressive multi-scale consistent network (PMCNet) that integrates the proposed progressive feature fusion (PFF) block and dynamic attention block (DAB) to address the aforementioned issues. Specifically, PFF block progressively integrates multi-scale features from adjacent encoding layers, facilitating feature learning of each layer by aggregating fine-grained details and high-level semantics. As features at different scales should be consistent, DAB is designed to dynamically learn the attentive cues from the fused features at different scales, thus aiming to smooth the essential conflicts existing in multi-scale features. The two proposed PFF and DAB blocks can be integrated with the off-the-shelf backbone networks to address the two issues of multi-scale and feature inconsistency in the multi-class segmentation of fundus lesions, which will produce better feature representation in the feature space. Experimental results on three public datasets indicate that the proposed method is more effective than recent state-of-the-art methods.

Huan Ma. Qingyang Zhang, Changqing Zhang, Bingzhe Wu et al.

Multimodal machine learning has achieved remarkable progress in a wide range of scenarios. However, the reliability of multimodal learning remains largely unexplored. In this paper, through extensive empirical studies, we identify current multimodal classification methods suffer from unreliable predictive confidence that tend to rely on partial modalities when estimating confidence. Specifically, we find that the confidence estimated by current models could even increase when some modalities are corrupted. To address the issue, we introduce an intuitive principle for multimodal learning, i.e., the confidence should not increase when one modality is removed. Accordingly, we propose a novel regularization technique, i.e., Calibrating Multimodal Learning (CML) regularization, to calibrate the predictive confidence of previous methods. This technique could be flexibly equipped by existing models and improve the performance in terms of confidence calibration, classification accuracy, and model robustness.

Zhihao Chen, Yang Zhou, Anh Tran et al.

Medical phrase grounding (MPG) aims to locate the most relevant region in a medical image, given a phrase query describing certain medical findings, which is an important task for medical image analysis and radiological diagnosis. However, existing visual grounding methods rely on general visual features for identifying objects in natural images and are not capable of capturing the subtle and specialized features of medical findings, leading to sub-optimal performance in MPG. In this paper, we propose MedRPG, an end-to-end approach for MPG. MedRPG is built on a lightweight vision-language transformer encoder and directly predicts the box coordinates of mentioned medical findings, which can be trained with limited medical data, making it a valuable tool in medical image analysis. To enable MedRPG to locate nuanced medical findings with better region-phrase correspondences, we further propose Tri-attention Context contrastive alignment (TaCo). TaCo seeks context alignment to pull both the features and attention outputs of relevant region-phrase pairs close together while pushing those of irrelevant regions far away. This ensures that the final box prediction depends more on its finding-specific regions and phrases. Experimental results on three MPG datasets demonstrate that our MedRPG outperforms state-of-the-art visual grounding approaches by a large margin. Additionally, the proposed TaCo strategy is effective in enhancing finding localization ability and reducing spurious region-phrase correlations.

Junhao Lin, Qian Dai, Lei Zhu et al.

Breast lesion segmentation in ultrasound (US) videos is essential for diagnosing and treating axillary lymph node metastasis. However, the lack of a well-established and large-scale ultrasound video dataset with high-quality annotations has posed a persistent challenge for the research community. To overcome this issue, we meticulously curated a US video breast lesion segmentation dataset comprising 572 videos and 34,300 annotated frames, covering a wide range of realistic clinical scenarios. Furthermore, we propose a novel frequency and localization feature aggregation network (FLA-Net) that learns temporal features from the frequency domain and predicts additional lesion location positions to assist with breast lesion segmentation. We also devise a localization-based contrastive loss to reduce the lesion location distance between neighboring video frames within the same video and enlarge the location distances between frames from different ultrasound videos. Our experiments on our annotated dataset and two public video polyp segmentation datasets demonstrate that our proposed FLA-Net achieves state-of-the-art performance in breast lesion segmentation in US videos and video polyp segmentation while significantly reducing time and space complexity. Our model and dataset are available at https://github.com/jhl-Det/FLA-Net.

Qinkai Yu, Jianyang Xie, Anh Nguyen et al.

Diabetic retinopathy (DR) is a complication of diabetes and usually takes decades to reach sight-threatening levels. Accurate and robust detection of DR severity is critical for the timely management and treatment of diabetes. However, most current DR grading methods suffer from insufficient robustness to data variability (\textit{e.g.} colour fundus images), posing a significant difficulty for accurate and robust grading. In this work, we propose a novel DR grading framework CLIP-DR based on three observations: 1) Recent pre-trained visual language models, such as CLIP, showcase a notable capacity for generalisation across various downstream tasks, serving as effective baseline models. 2) The grading of image-text pairs for DR often adheres to a discernible natural sequence, yet most existing DR grading methods have primarily overlooked this aspect. 3) A long-tailed distribution among DR severity levels complicates the grading process. This work proposes a novel ranking-aware prompting strategy to help the CLIP model exploit the ordinal information. Specifically, we sequentially design learnable prompts between neighbouring text-image pairs in two different ranking directions. Additionally, we introduce a Similarity Matrix Smooth module into the structure of CLIP to balance the class distribution. Finally, we perform extensive comparisons with several state-of-the-art methods on the GDRBench benchmark, demonstrating our CLIP-DR's robustness and superior performance. The implementation code is available \footnote{\url{https://github.com/Qinkaiyu/CLIP-DR}

Zhenning Shi, Haoshuai Zheng, Chen Xu et al.

Recently, research on denoising diffusion models has expanded its application to the field of image restoration. Traditional diffusion-based image restoration methods utilize degraded images as conditional input to effectively guide the reverse generation process, without modifying the original denoising diffusion process. However, since the degraded images already include low-frequency information, starting from Gaussian white noise will result in increased sampling steps. We propose Resfusion, a general framework that incorporates the residual term into the diffusion forward process, starting the reverse process directly from the noisy degraded images. The form of our inference process is consistent with the DDPM. We introduced a weighted residual noise, named resnoise, as the prediction target and explicitly provide the quantitative relationship between the residual term and the noise term in resnoise. By leveraging a smooth equivalence transformation, Resfusion determine the optimal acceleration step and maintains the integrity of existing noise schedules, unifying the training and inference processes. The experimental results demonstrate that Resfusion exhibits competitive performance on ISTD dataset, LOL dataset and Raindrop dataset with only five sampling steps. Furthermore, Resfusion can be easily applied to image generation and emerges with strong versatility. Our code and model are available at https://github.com/nkicsl/Resfusion.

Lianyu Wang, Meng Wang, Daoqiang Zhang et al.

As scientific and technological advancements result from human intellectual labor and computational costs, protecting model intellectual property (IP) has become increasingly important to encourage model creators and owners. Model IP protection involves preventing the use of well-trained models on unauthorized domains. To address this issue, we propose a novel approach called Compact Un-Transferable Isolation Domain (CUTI-domain), which acts as a barrier to block illegal transfers from authorized to unauthorized domains. Specifically, CUTI-domain blocks cross-domain transfers by highlighting the private style features of the authorized domain, leading to recognition failure on unauthorized domains with irrelevant private style features. Moreover, we provide two solutions for using CUTI-domain depending on whether the unauthorized domain is known or not: target-specified CUTI-domain and target-free CUTI-domain. Our comprehensive experimental results on four digit datasets, CIFAR10 & STL10, and VisDA-2017 dataset demonstrate that CUTI-domain can be easily implemented as a plug-and-play module with different backbones, providing an efficient solution for model IP protection.

Yuan Zhang, Jiahao Xia, Junzhang Huang et al.

Data scarcity in multimodal pathology motivates unified generative models that synthesize modality-specific appearance while preserving anatomically coherent structure. Although modalities differ in appearance statistics, morphological structures such as cellular topology and tissue boundaries are largely preserved across acquisition protocols. However, existing methods often model these factors within a homogeneous token stream, implicitly coupling structure with appearance and weakening structural controllability under modality shifts. To address this, we propose pathology Autorgressive modeling (PathAR), a structure-first autoregressive synthesis framework that explicitly factorizes structure and appearance for modality-label-conditioned pathology generation.PathAR employs a dual vector quantization (Dual-VQ) tokenizer to decompose samples into mask-grounded structure and appearance tokens, and an interleaved autoregressive (IAR) transformer with asymmetric attention visibility to enforce structure-to-appearance dependence. PathAR stabilizes morphology under heterogeneous modality-specific appearances and enables spatially aligned image--mask pair generation. Extensive experiments show that PathAR improves structural consistency and modality fidelity over baselines, maintains sample diversity, supports downstream segmentation in data-scarce regimes, and demonstrates extensibility to finer-grained intra-modality organ-label variation.

Kai Ren, Ke Zou, Xianjie Liu et al.

Classification and segmentation are crucial in medical image analysis as they enable accurate diagnosis and disease monitoring. However, current methods often prioritize the mutual learning features and shared model parameters, while neglecting the reliability of features and performances. In this paper, we propose a novel Uncertainty-informed Mutual Learning (UML) framework for reliable and interpretable medical image analysis. Our UML introduces reliability to joint classification and segmentation tasks, leveraging mutual learning with uncertainty to improve performance. To achieve this, we first use evidential deep learning to provide image-level and pixel-wise confidences. Then, an Uncertainty Navigator Decoder is constructed for better using mutual features and generating segmentation results. Besides, an Uncertainty Instructor is proposed to screen reliable masks for classification. Overall, UML could produce confidence estimation in features and performance for each link (classification and segmentation). The experiments on the public datasets demonstrate that our UML outperforms existing methods in terms of both accuracy and robustness. Our UML has the potential to explore the development of more reliable and explainable medical image analysis models. We will release the codes for reproduction after acceptance.

Erjian Guo, Huazhu Fu, Luping Zhou et al.

Deep learning based image enhancement models have largely improved the readability of fundus images in order to decrease the uncertainty of clinical observations and the risk of misdiagnosis. However, due to the difficulty of acquiring paired real fundus images at different qualities, most existing methods have to adopt synthetic image pairs as training data. The domain shift between the synthetic and the real images inevitably hinders the generalization of such models on clinical data. In this work, we propose an end-to-end optimized teacher-student framework to simultaneously conduct image enhancement and domain adaptation. The student network uses synthetic pairs for supervised enhancement, and regularizes the enhancement model to reduce domain-shift by enforcing teacher-student prediction consistency on the real fundus images without relying on enhanced ground-truth. Moreover, we also propose a novel multi-stage multi-attention guided enhancement network (MAGE-Net) as the backbones of our teacher and student network. Our MAGE-Net utilizes multi-stage enhancement module and retinal structure preservation module to progressively integrate the multi-scale features and simultaneously preserve the retinal structures for better fundus image quality enhancement. Comprehensive experiments on both real and synthetic datasets demonstrate that our framework outperforms the baseline approaches. Moreover, our method also benefits the downstream clinical tasks.

Huihui Fang, Fei Li, Huazhu Fu et al.

Glaucoma causes irreversible vision loss due to damage to the optic nerve, and there is no cure for glaucoma.OCT imaging modality is an essential technique for assessing glaucomatous damage since it aids in quantifying fundus structures. To promote the research of AI technology in the field of OCT-assisted diagnosis of glaucoma, we held a Glaucoma OCT Analysis and Layer Segmentation (GOALS) Challenge in conjunction with the International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI) 2022 to provide data and corresponding annotations for researchers studying layer segmentation from OCT images and the classification of glaucoma. This paper describes the released 300 circumpapillary OCT images, the baselines of the two sub-tasks, and the evaluation methodology. The GOALS Challenge is accessible at https://aistudio.baidu.com/aistudio/competition/detail/230.

Along He, Kai Wang, Zhihong Wang et al.

Limited labeled data makes it hard to train models from scratch in medical domain, and an important paradigm is pre-training and then fine-tuning. Large pre-trained models contain rich representations, which can be adapted to downstream medical tasks. However, existing methods either tune all the parameters or the task-specific layers of the pre-trained models, ignoring the input variations of medical images, and thus they are not efficient or effective. In this work, we aim to study parameter-efficient fine-tuning (PEFT) for medical image analysis, and propose a dynamic visual prompt tuning method, named DVPT. It can extract knowledge beneficial to downstream tasks from large models with a few trainable parameters. Firstly, the frozen features are transformed by an lightweight bottleneck layer to learn the domain-specific distribution of downstream medical tasks, and then a few learnable visual prompts are used as dynamic queries and then conduct cross-attention with the transformed features, attempting to acquire sample-specific knowledge that are suitable for each sample. Finally, the features are projected to original feature dimension and aggregated with the frozen features. This DVPT module can be shared between different Transformer layers, further reducing the trainable parameters. To validate DVPT, we conduct extensive experiments with different pre-trained models on medical classification and segmentation tasks. We find such PEFT method can not only efficiently adapt the pre-trained models to the medical domain, but also brings data efficiency with partial labeled data. For example, with 0.5\% extra trainable parameters, our method not only outperforms state-of-the-art PEFT methods, even surpasses the full fine-tuning by more than 2.20\% Kappa score on medical classification task. It can saves up to 60\% labeled data and 99\% storage cost of ViT-B/16.

Meng Wang, Lianyu Wang, Xinxing Xu et al.

Deep learning models have shown promising performance in the field of diabetic retinopathy (DR) staging. However, collaboratively training a DR staging model across multiple institutions remains a challenge due to non-iid data, client reliability, and confidence evaluation of the prediction. To address these issues, we propose a novel federated uncertainty-aware aggregation paradigm (FedUAA), which considers the reliability of each client and produces a confidence estimation for the DR staging. In our FedUAA, an aggregated encoder is shared by all clients for learning a global representation of fundus images, while a novel temperature-warmed uncertainty head (TWEU) is utilized for each client for local personalized staging criteria. Our TWEU employs an evidential deep layer to produce the uncertainty score with the DR staging results for client reliability evaluation. Furthermore, we developed a novel uncertainty-aware weighting module (UAW) to dynamically adjust the weights of model aggregation based on the uncertainty score distribution of each client. In our experiments, we collect five publicly available datasets from different institutions to conduct a dataset for federated DR staging to satisfy the real non-iid condition. The experimental results demonstrate that our FedUAA achieves better DR staging performance with higher reliability compared to other federated learning methods. Our proposed FedUAA paradigm effectively addresses the challenges of collaboratively training DR staging models across multiple institutions, and provides a robust and reliable solution for the deployment of DR diagnosis models in real-world clinical scenarios.

Zhihao Chen, Liang Wan, Yefan Xiao et al.

Shadow removal in a single image has received increasing attention in recent years. However, removing shadows over dynamic scenes remains largely under-explored. In this paper, we propose the first data-driven video shadow removal model, termed PSTNet, by exploiting three essential characteristics of video shadows, i.e., physical property, spatio relation, and temporal coherence. Specifically, a dedicated physical branch was established to conduct local illumination estimation, which is more applicable for scenes with complex lighting and textures, and then enhance the physical features via a mask-guided attention strategy. Then, we develop a progressive aggregation module to enhance the spatio and temporal characteristics of features maps, and effectively integrate the three kinds of features. Furthermore, to tackle the lack of datasets of paired shadow videos, we synthesize a dataset (SVSRD-85) with aid of the popular game GTAV by controlling the switch of the shadow renderer. Experiments against 9 state-of-the-art models, including image shadow removers and image/video restoration methods, show that our method improves the best SOTA in terms of RMSE error for the shadow area by 14.7. In addition, we develop a lightweight model adaptation strategy to make our synthetic-driven model effective in real world scenes. The visual comparison on the public SBU-TimeLapse dataset verifies the generalization ability of our model in real scenes.

Jiawei Wu, Changqing Zhang, Zuoyong Li et al.

Cutting out an object and estimating its opacity mask, known as image matting, is a key task in image and video editing. Due to the highly ill-posed issue, additional inputs, typically user-defined trimaps or scribbles, are usually needed to reduce the uncertainty. Although effective, it is either time consuming or only suitable for experienced users who know where to place the strokes. In this work, we propose a decomposed-uncertainty-guided matting (dugMatting) algorithm, which explores the explicitly decomposed uncertainties to efficiently and effectively improve the results. Basing on the characteristic of these uncertainties, the epistemic uncertainty is reduced in the process of guiding interaction (which introduces prior knowledge), while the aleatoric uncertainty is reduced in modeling data distribution (which introduces statistics for both data and possible noise). The proposed matting framework relieves the requirement for users to determine the interaction areas by using simple and efficient labeling. Extensively quantitative and qualitative results validate that the proposed method significantly improves the original matting algorithms in terms of both efficiency and efficacy.

Meng Wang, Kai Yu, Chun-Mei Feng et al.

Federated learning (FL), as an effective decentralized distributed learning approach, enables multiple institutions to jointly train a model without sharing their local data. However, the domain feature shift caused by different acquisition devices/clients substantially degrades the performance of the FL model. Furthermore, most existing FL approaches aim to improve accuracy without considering reliability (e.g., confidence or uncertainty). The predictions are thus unreliable when deployed in safety-critical applications. Therefore, aiming at improving the performance of FL in non-Domain feature issues while enabling the model more reliable. In this paper, we propose a novel reliable federated disentangling network, termed RFedDis, which utilizes feature disentangling to enable the ability to capture the global domain-invariant cross-client representation and preserve local client-specific feature learning. Meanwhile, to effectively integrate the decoupled features, an uncertainty-aware decision fusion is also introduced to guide the network for dynamically integrating the decoupled features at the evidence level, while producing a reliable prediction with an estimated uncertainty. To the best of our knowledge, our proposed RFedDis is the first work to develop an FL approach based on evidential uncertainty combined with feature disentangling, which enhances the performance and reliability of FL in non-IID domain features. Extensive experimental results show that our proposed RFedDis provides outstanding performance with a high degree of reliability as compared to other state-of-the-art FL approaches.

Lianyu Wang, Meng Wang, Daoqiang Zhang et al.

Unsupervised domain adaptation (UDA) has attracted considerable attention, which transfers knowledge from a label-rich source domain to a related but unlabeled target domain. Reducing inter-domain differences has always been a crucial factor to improve performance in UDA, especially for tasks where there is a large gap between source and target domains. To this end, we propose a novel style-aware feature fusion method (SAFF) to bridge the large domain gap and transfer knowledge while alleviating the loss of class-discriminative information. Inspired by the human transitive inference and learning ability, a novel style-aware self-intermediate domain (SSID) is investigated to link two seemingly unrelated concepts through a series of intermediate auxiliary synthesized concepts. Specifically, we propose a novel learning strategy of SSID, which selects samples from both source and target domains as anchors, and then randomly fuses the object and style features of these anchors to generate labeled and style-rich intermediate auxiliary features for knowledge transfer. Moreover, we design an external memory bank to store and update specified labeled features to obtain stable class features and class-wise style features. Based on the proposed memory bank, the intra- and inter-domain loss functions are designed to improve the class recognition ability and feature compatibility, respectively. Meanwhile, we simulate the rich latent feature space of SSID by infinite sampling and the convergence of the loss function by mathematical theory. Finally, we conduct comprehensive experiments on commonly used domain adaptive benchmarks to evaluate the proposed SAFF, and the experimental results show that the proposed SAFF can be easily combined with different backbone networks and obtain better performance as a plug-in-plug-out module.

Yunlu Yan, Huazhu Fu, Yuexiang Li et al.

Federated Learning (FL) facilitates collaborative learning among multiple clients in a distributed manner and ensures the security of privacy. However, its performance inevitably degrades with non-Independent and Identically Distributed (non-IID) data. In this paper, we focus on the feature distribution skewed FL scenario, a common non-IID situation in real-world applications where data from different clients exhibit varying underlying distributions. This variation leads to feature shift, which is a key issue of this scenario. While previous works have made notable progress, few pay attention to the data itself, i.e., the root of this issue. The primary goal of this paper is to mitigate feature shift from the perspective of data. To this end, we propose a simple yet remarkably effective input-level data augmentation method, namely FedRDN, which randomly injects the statistical information of the local distribution from the entire federation into the client's data. This is beneficial to improve the generalization of local feature representations, thereby mitigating feature shift. Moreover, our FedRDN is a plug-and-play component, which can be seamlessly integrated into the data augmentation flow with only a few lines of code. Extensive experiments on several datasets show that the performance of various representative FL methods can be further improved by integrating our FedRDN, demonstrating its effectiveness, strong compatibility and generalizability. Code will be released.

Ke Zou, Tian Lin, Xuedong Yuan et al.

Multimodality eye disease screening is crucial in ophthalmology as it integrates information from diverse sources to complement their respective performances. However, the existing methods are weak in assessing the reliability of each unimodality, and directly fusing an unreliable modality may cause screening errors. To address this issue, we introduce a novel multimodality evidential fusion pipeline for eye disease screening, EyeMoSt, which provides a measure of confidence for unimodality and elegantly integrates the multimodality information from a multi-distribution fusion perspective. Specifically, our model estimates both local uncertainty for unimodality and global uncertainty for the fusion modality to produce reliable classification results. More importantly, the proposed mixture of Student's $t$ distributions adaptively integrates different modalities to endow the model with heavy-tailed properties, increasing robustness and reliability. Our experimental findings on both public and in-house datasets show that our model is more reliable than current methods. Additionally, EyeMost has the potential ability to serve as a data quality discriminator, enabling reliable decision-making for multimodality eye disease screening.

Jiusong Ge, Yingkang Zhan, Wenjie Zhao et al.

Traditional whole slide image (WSI) analysis methods typically rely on the multiple instance learning (MIL) paradigm, which extracts patch-level features at high magnification and aggregates them for slide-level prediction. However, such exhaustive patch-level processing is computationally expensive, severely limiting the efficiency and scalability of WSI analysis. To address this challenge, we propose PathCTM (a Pathology-oriented Continuous Thought Model) that enables token-efficient scale-space continuous reasoning for gigapixel WSIs. PathCTM formulates diagnostic inference as a dynamic sequential information pursuit. It progressively transitions from low-magnification global to high-magnification local inspection, and adaptively terminates inference when sufficient evidence is gathered to effectively bound decision uncertainty. Specifically, it uses conditional computation for dynamic scale switching with attention-guided region pruning, coupled with confidence-aware early stopping. Extensive experiments demonstrate that, compared with standard MIL-based methods, PathCTM reduces the number of required image patches by 95.95% and shortens inference time by approximately 95.62%, while maintaining AUC without degradation. Code is available at https://github.com/JSGe-AI/PathCTM.

Junde Wu, Huihui Fang, Fei Li et al.

GAMMA Challenge is organized to encourage the AI models to screen the glaucoma from a combination of 2D fundus image and 3D optical coherence tomography volume, like the ophthalmologists.

Guoyao Deng, Ke Zou, Meng Wang et al.

Frontotemporal Dementia (FTD) diagnosis has been successfully progress using deep learning techniques. However, current FTD identification methods suffer from two limitations. Firstly, they do not exploit the potential of multi-view functional magnetic resonance imaging (fMRI) for classifying FTD. Secondly, they do not consider the reliability of the multi-view FTD diagnosis. To address these limitations, we propose a reliable multi-view impartial decision network (MID-Net) for FTD diagnosis in fMRI. Our MID-Net provides confidence for each view and generates a reliable prediction without any conflict. To achieve this, we employ multiple expert models to extract evidence from the abundant neural network information contained in fMRI images. We then introduce the Dirichlet Distribution to characterize the expert class probability distribution from an evidence level. Additionally, a novel Impartial Decision Maker (IDer) is proposed to combine the different opinions inductively to arrive at an unbiased prediction without additional computation cost. Overall, our MID-Net dynamically integrates the decisions of different experts on FTD disease, especially when dealing with multi-view high-conflict cases. Extensive experiments on a high-quality FTD fMRI dataset demonstrate that our model outperforms previous methods and provides high uncertainty for hard-to-classify examples. We believe that our approach represents a significant step toward the deployment of reliable FTD decision-making under multi-expert conditions. We will release the codes for reproduction after acceptance.

Xingxing Wei, Bangzheng Pu, Shiji Zhao et al.

The advancement of deep learning has facilitated the integration of Artificial Intelligence (AI) into clinical practices, particularly in computer-aided diagnosis. Given the pivotal role of medical images in various diagnostic procedures, it becomes imperative to ensure the responsible and secure utilization of AI techniques. However, the unauthorized utilization of AI for image analysis raises significant concerns regarding patient privacy and potential infringement on the proprietary rights of data custodians. Consequently, the development of pragmatic and cost-effective strategies that safeguard patient privacy and uphold medical image copyrights emerges as a critical necessity. In direct response to this pressing demand, we present a pioneering solution named Medical Image Adversarial watermarking (MIAD-MARK). Our approach introduces watermarks that strategically mislead unauthorized AI diagnostic models, inducing erroneous predictions without compromising the integrity of the visual content. Importantly, our method integrates an authorization protocol tailored for legitimate users, enabling the removal of the MIAD-MARK through encryption-generated keys. Through extensive experiments, we validate the efficacy of MIAD-MARK across three prominent medical image datasets. The empirical outcomes demonstrate the substantial impact of our approach, notably reducing the accuracy of standard AI diagnostic models to a mere 8.57% under white box conditions and 45.83% in the more challenging black box scenario. Additionally, our solution effectively mitigates unauthorized exploitation of medical images even in the presence of sophisticated watermark removal networks. Notably, those AI diagnosis networks exhibit a meager average accuracy of 38.59% when applied to images protected by MIAD-MARK, underscoring the robustness of our safeguarding mechanism.