Kaixing Long

Bohai Zhang, Wenjie Chen, Mu Li et al.

Accurate CT-MRI registration of the cervical spine is essential for preoperative planning because this region is anatomically complex,highly variable,and vulnerable to injury of the vertebral arteries and spinal cord. However,cervical CT-MRI registration remains underexplored,particularly for rigid-deformable hybrid modeling,and the lack of high-quality annotated multimodal data further limits progress. To address these challenges, we construct and release a comprehensively annotated CT-MRI dataset, R-D-Reg, and propose MSR, a rigid-deformable hybrid registration framework for complex joint structures. Specifically, MSR includes a rigid registration module for independent local rigid alignment of individual vertebrae and a deformable registration module with an MSL block that combines Mamba-based global modeling and Swin Transformer-based local modeling through adaptive gating. The rigid and deformable deformation fields are then fused to generate a hybrid field that better preserves local anatomical consistency. The code and dataset are publicly available at https://github.com/ssc1230609-spec/MSR-registration.

Kaixing Long, Danyi Weng, Yun Mi et al.

Constructing a multi-modal automatic classification model based on three types of renal biopsy images can assist pathologists in glomerular multi-disease identification. However, the substantial scale difference between transmission electron microscopy (TEM) image features at the nanoscale and optical microscopy (OM) or immunofluorescence microscopy (IM) images at the microscale poses a challenge for existing multi-modal and multi-scale models in achieving effective feature fusion and improving classification accuracy. To address this issue, we propose a cross-modal ultra-scale learning network (CMUS-Net) for the auxiliary diagnosis of multiple glomerular diseases. CMUS-Net utilizes multiple ultrastructural information to bridge the scale difference between nanometer and micrometer images. Specifically, we introduce a sparse multi-instance learning module to aggregate features from TEM images. Furthermore, we design a cross-modal scale attention module to facilitate feature interaction, enhancing pathological semantic information. Finally, multiple loss functions are combined, allowing the model to weigh the importance among different modalities and achieve precise classification of glomerular diseases. Our method follows the conventional process of renal biopsy pathology diagnosis and, for the first time, performs automatic classification of multiple glomerular diseases including IgA nephropathy (IgAN), membranous nephropathy (MN), and lupus nephritis (LN) based on images from three modalities and two scales. On an in-house dataset, CMUS-Net achieves an ACC of 95.37+/-2.41%, an AUC of 99.05+/-0.53%, and an F1-score of 95.32+/-2.41%. Extensive experiments demonstrate that CMUS-Net outperforms other well-known multi-modal or multi-scale methods and show its generalization capability in staging MN. Code is available at https://github.com/SMU-GL-Group/MultiModal_lkx/tree/main.

Zhentai Zhang, Danyi Weng, Guibin Zhang et al.

Background and Objective: To address the inability of single-model architectures to perform simultaneous analysis of complex glomerular ultrastructures, we developed Glo-UMF, a unified multi-model framework integrating segmentation, classification, and detection to systematically quantify key ultrastructural features. Methods: Glo-UMF decouples quantification tasks by constructing three dedicated deep models: an ultrastructure segmentation model, a glomerular filtration barrier (GFB) region classification model, and an electron-dense deposits (EDD) detection model. Their outputs are integrated through a post-processing workflow with adaptive GFB cropping and measurement location screening, enhancing measurement reliability and providing comprehensive quantitative results that overcome the limitations of traditional grading. Results: Trained on 372 electron microscopy images, Glo-UMF enables simultaneous quantification of glomerular basement membrane (GBM) thickness, the degree of foot process effacement (FPE), and EDD location. In 115 test cases spanning 9 renal pathological types, the automated quantification results showed strong agreement with pathological reports, with an average processing time of 4.23$\pm$0.48 seconds per case on a CPU environment. Conclusions: The modular design of Glo-UMF allows for flexible extensibility, supporting the joint quantification of multiple features. This framework ensures robust generalization and clinical applicability, demonstrating significant potential as an efficient auxiliary tool in glomerular pathological analysis.