Weiren Zhao

Weiren Zhao, Yi Dong, Cheng Chen

Unifying multimodal understanding and generation is a compelling frontier that is beginning to emerge in the medical field. However, the limited existing unified medical models typically treat understanding and generation as disjoint objectives, lacking a meaningful functional synergy. In this work, we identify and address a critical question in unified medical modeling: what form of understanding truly benefits generation. We present SynerMedGen, a unified framework built on the proposed principle of generation-aligned understanding, which synergizes understanding objectives with generation tasks via task alignment. SynerMedGen introduces three generation-aligned understanding tasks and a two-stage training strategy that transfers generation-beneficial representations learned during understanding training to medical image synthesis. Remarkably, even with understanding training alone, our SynerMedGen achieves strong zero-shot performance across 22 medical image synthesis tasks and demonstrates robust generalization to unseen datasets. When combined with generation training, SynerMedGen consistently outperforms state-of-the-art specialized medical image synthesis models as well as recent unified medical models. We also release a large-scale dataset named SynerMed consisting of 1M paired synthesis samples and 2M generation-derived understanding instances to support further research on understanding-generation synergy. Our project can be accessed at https://github.com/Mhilab/SynerMedGen.

Weiren Zhao, Lanfeng Zhong, Xin Liao et al.

Semi-Supervised Learning (SSL) is important for reducing the annotation cost for medical image segmentation models. State-of-the-art SSL methods such as Mean Teacher, FixMatch and Cross Pseudo Supervision (CPS) are mainly based on consistency regularization or pseudo-label supervision between a reference prediction and a supervised prediction. Despite the effectiveness, they have overlooked the potential noise in the labeled data, and mainly focus on strategies to generate the reference prediction, while ignoring the heterogeneous values of different unlabeled pixels. We argue that effectively mining the rich information contained by the two predictions in the loss function, instead of the specific strategy to obtain a reference prediction, is more essential for SSL, and propose a universal framework MetaSSL based on a spatially heterogeneous loss that assigns different weights to pixels by simultaneously leveraging the uncertainty and consistency information between the reference and supervised predictions. Specifically, we split the predictions on unlabeled data into four regions with decreasing weights in the loss: Unanimous and Confident (UC), Unanimous and Suspicious (US), Discrepant and Confident (DC), and Discrepant and Suspicious (DS), where an adaptive threshold is proposed to distinguish confident predictions from suspicious ones. The heterogeneous loss is also applied to labeled images for robust learning considering the potential annotation noise. Our method is plug-and-play and general to most existing SSL methods. The experimental results showed that it improved the segmentation performance significantly when integrated with existing SSL frameworks on different datasets. Code is available at https://github.com/HiLab-git/MetaSSL.

Weiren Zhao, Feng Wang, Yanran Wang et al.

Recent advancements have highlighted the Mamba framework, a state-space model known for its efficiency in capturing long-range dependencies with linear computational complexity. While Mamba has shown competitive performance in medical image segmentation, it encounters difficulties in modeling local features due to the sporadic nature of traditional location-based scanning methods and the complex, ambiguous boundaries often present in medical images. To overcome these challenges, we propose Uncertainty-Driven Mamba (UD-Mamba), which redefines the pixel-order scanning process by incorporating channel uncertainty into the scanning mechanism. UD-Mamba introduces two key scanning techniques: 1) sequential scanning, which prioritizes regions with high uncertainty by scanning in a row-by-row fashion, and 2) skip scanning, which processes columns vertically, moving from high-to-low or low-to-high uncertainty at fixed intervals. Sequential scanning efficiently clusters high-uncertainty regions, such as boundaries and foreground objects, to improve segmentation precision, while skip scanning enhances the interaction between background and foreground regions, allowing for timely integration of background information to support more accurate foreground inference. Recognizing the advantages of scanning from certain to uncertain areas, we introduce four learnable parameters to balance the importance of features extracted from different scanning methods. Additionally, a cosine consistency loss is employed to mitigate the drawbacks of transitioning between uncertain and certain regions during the scanning process. Our method demonstrates robust segmentation performance, validated across three distinct medical imaging datasets involving pathology, dermatological lesions, and cardiac tasks.